Individual provider Active NPI

Eric Everett Rouse, DPT

  • Physical Therapist
  • Tahlequah, OK
National Provider Identifier
1124475645
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795
Phone
(918) 458-5115
Fax
(918) 458-5119
NPI assigned
May 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795

Mailing address

2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795
Phone (918) 458-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013001774 OK Practitioner - Physical Therapist in Private Practice 0143518795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access 2Healthcare Solutions IncGroup PAC ID 8628319183, 4 clinicians

Practice addresses (Care Compare)

2244 E Shawnee Bypass
Muskogee, OK 74403-1443
Phone (918) 684-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5206OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey Speech Pathology, LLC CurrentSince Apr 27, 2017 Accepting new patients
Access 2Healthcare Solutions Inc Physical Therapist CurrentSince Feb 13, 2019 Accepting new patients
Access 2Healthcare Solutions Physical Therapist PastSince Feb 13, 2019 Accepting new patients

Locations

2244 E Shawnee Byp
Muskogee, OK 74403
Phone (918) 684-9999

1001 W Broadway St
Muskogee, OK 74401
Phone (918) 681-7555

5323 S 65th West Ave
Tulsa, OK 74107
Phone (918) 340-5024

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1124475645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MAHANEY AVE STE 6",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645795",
            "telephone_number": "918-458-5115",
            "fax_number": "918-458-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MAHANEY AVE STE 6",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645795",
            "telephone_number": "918-458-5115",
            "fax_number": "918-458-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "ERIC",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.