Organization Active NPI

Okla Rehab Pulmonary Specialist

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tahlequah, OK
National Provider Identifier
1114179090
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
OK1843 Issued in OK
Legal business name
OKLA REHAB PULMONARY SPECIALIST
Practice address
10 Plaza South
Tahlequah, OK 74464
Phone
(918) 488-9992
NPI assigned
Oct 22, 2008
Organization subpart
Yes
Parent organization
OKLAHOMA REHAB SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Bobby Daniel, DONPI 1154331726
Title
President
Phone
(918) 488-9992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OK1843 OK Primary

Addresses

Primary practice location

10 Plaza South
Tahlequah, OK 74464

Mailing address

6767 S Yale Ave
Ste B
Tulsa, OK 74136-3302

National Provider Directory

National Provider Directory
Part of
Oklahoma Rehab Services

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1114179090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 S YALE AVE",
            "address_2": "STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLAZA SOUTH",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-488-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLA REHAB PULMONARY SPECIALIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKLAHOMA REHAB SERVICES INC",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-488-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "OK",
            "license": "OK1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.