Spinal Therapeutic Services Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPINAL THERAPEUTIC SERVICES INC

Practice address

4415 S Harvard Ave
Ste. 204
Tulsa, OK 74135-2620

Phone

(918) 743-1133

Fax

(918) 743-6993

NPI assigned

Jul 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Craig Huey

Title

President

Phone

(918) 743-1133

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1063610087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE",
            "address_2": "STE. 204",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352620",
            "telephone_number": "918-743-1133",
            "fax_number": "918-743-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE",
            "address_2": "STE. 204",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352620",
            "telephone_number": "918-743-1133",
            "fax_number": "918-743-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL THERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-743-1133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "444429855003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodger Brannon Spillars, M.D.
• Julie Diane Spille, BS
• Stephanie Spillers, LPC
• Spinal Decompression Center of Tulsa, LLC
• Spinal Neurosurgical Associates, P.a.
• Spine Spa PLLC
• Spine Specialists P C
• Spineshield Neuromonitoring LLC
• Rosanne Spinks, BSW
• Kelly Catherine Spiva, M.A.,CCC-A

• Physical Medicine & Rehabilitation Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.