Active NPI
Okla Rehab Pulmonary Specialist
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tahlequah, OK
National Provider Identifier
1114179090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- OK1843
- 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 INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bobby Daniel, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tulsa, OK
- NPI 1326117888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1154331726
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.