Harvard Rehabilitation Group, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3669 Issued in OK

Legal business name

HARVARD REHABILITATION GROUP, INC

Practice address

3316 E 21St St
Suite C
Tulsa, OK 74114-1967

Phone

(918) 747-0066

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Edgar R Acosta

Title

Officer

Phone

(918) 747-0066

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Davis Tatum, PT

  • Physical Therapist
  • Tulsa, OK
  • NPI 1558423228
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1093906471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14185",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741591185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 E 21ST ST",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141967",
            "telephone_number": "918-747-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD REHABILITATION GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "918-747-0066"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Hartzog-Murrell, M.S, L.P.C.
• Harvard Family Clinic Inc
• Harvard Family Physicians P C
• Harvard Family Physicians P C (Harvard Family Physicians Pharmacy)
• Harvard Optical, LLC
• Harvard Rehabilitation Services of Tulsa, Inc. (Restore Therapy of Oklahoma)
• Harvey Payne
• Angela Harvey
• Ashley Harvey
• Deawna M Harvey

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.