Organization Active NPI

Advanced Occupational Rehabilitaion,Inc

  • Sports Medicine (Internal Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1104995653
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
ADVANCED OCCUPATIONAL REHABILITAION,INC
Practice address
2121 S Columbia Ave Ste 501
Tulsa, OK 74114-3513
Phone
(918) 340-0462
Fax
(405) 340-5432
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Faraday Pour
Title
Manager
Phone
(918) 340-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

2121 S Columbia Ave Ste 501
Tulsa, OK 74114-3513

Mailing address

2121 S Columbia Ave Ste 501
Tulsa, OK 74114-3513
Phone (918) 340-0462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1104995653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE STE 501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143513",
            "telephone_number": "918-340-0462",
            "fax_number": "405-340-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE STE 501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143513",
            "telephone_number": "918-340-0462",
            "fax_number": "405-340-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OCCUPATIONAL REHABILITAION,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "POUR",
        "authorized_official_first_name": "FARADAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-340-0462"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.