Green Country Sports Physical Medicine and Rehab PC

Primary specialty

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X

License

20733 Issued in OK

Legal business name

GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC

Practice address

8803 S 101St East Ave
Suite#290
Tulsa, OK 74133-5726

Phone

(918) 459-9500

Fax

(918) 459-0995

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Srikanth K Reddy, MD

Title

Presedent

Phone

(918) 459-9500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1104039437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "SUITE#290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-459-9500",
            "fax_number": "918-459-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "SUITE#290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-459-9500",
            "fax_number": "918-459-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "918-459-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "OK",
            "license": "20733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Country Pain Management
• Green Country Podiatry Center, P.C.
• Green Country Preventative Medicine, LLC
• Green Country Rehabilitation, LLC
• Green Country Rehabilitation, LLC
• Green Country Wound Care of Muskogee PC
• Joyce Green-Halford, OTRL CHT
• Amber Yvonne Green, BS
• Ashley Green
• Brandon Michael Green, D.O.

• 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 Nov 6, 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.