Ignite Medical Resort Bartlesville, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

IGNITE MEDICAL RESORT BARTLESVILLE, LLC

Practice address

6006 SE Adams Blvd
Bartlesville, OK 74006-8960

Phone

(918) 331-0550

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Tim Fields

Title

Manager

Phone

(847) 453-4000

Specialties & licenses 1

Addresses

Tax ID family

Ignite Medical Resort Adams Parc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ignite Medical Resort Bartlesville, LLC

  • Skilled Nursing Facility
  • Bartlesville, OK
  • NPI 1023648383
  NPD tax ID

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1154906733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY STE 430",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681461",
            "telephone_number": "833-944-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 SE ADAMS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068960",
            "telephone_number": "918-331-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT BARTLESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-453-4000"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Sue Hurd
• Angela Husketh
• James J Hutchins, MD
• Kelley Hutton, LPN
• Ignite Medical Resort Bartlesville, LLC
• Nicki Gossage Ingram, BS, CLC, LCCE, IBCLC
• Amanda Louise Inman
• Internal Medicine of Bartlesville PLLC
• Itr Counseling, PLLC
• Stephen Tyrell Ivey

• Rehabilitation Clinic/Center in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Rehabilitation Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.