Organization Active NPI

Oklahoma Rehab & Resp

Doing business as Oklahoma Rehab Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
National Provider Identifier
1194708677
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OKLAHOMA REHAB & RESP
Doing business as
Oklahoma Rehab Inc.
Practice address
428 NW 10TH St
Oklahoma City, OK 73103-3910
Phone
(405) 232-0533
Fax
(405) 232-0125
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Ms. Jarica Wilcox
Title
Manager
Phone
(405) 232-0533

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

428 NW 10TH St
Oklahoma City, OK 73103-3910

Mailing address

428 NW 10TH St
Oklahoma City, OK 73103-3910
Phone (405) 232-0533

Other identifiers 3

IdentifierTypeStateIssuer
100809900AMedicaidOK
100809900CMedicaidOK
100809900BMedicaidOK

Other names 1

  • Oklahoma Rehab Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

428 NW 10th St
Oklahoma City, OK 73103
Phone (405) 232-0533

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1194708677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 NW 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033910",
            "telephone_number": "405-232-0533",
            "fax_number": "405-232-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 NW 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033910",
            "telephone_number": "405-232-0533",
            "fax_number": "405-232-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA REHAB & RESP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "JARICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-232-0533",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100809900A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100809900C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100809900B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Rehab Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

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