Organization Active NPI

Northern Therapy & Rehabilitation, Inc

  • Physical Therapist
  • Blackwell, OK
National Provider Identifier
1194863373
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTHERN THERAPY & REHABILITATION, INC
Practice address
706 S 1St St
Blackwell, OK 74631-3825
Phone
(580) 765-0101
Fax
(580) 765-3434
NPI assigned
Feb 1, 2007
Last updated
Feb 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Ms. Vonda K Blando
Title
Office Manager
Phone
(580) 765-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

706 S 1St St
Blackwell, OK 74631-3825

Mailing address

706 S 1St St
Blackwell, OK 74631-3825
Phone (580) 765-0101

National Provider Directory

National Provider Directory

Locations

1016 Fir St
Perry, OK 73077
Phone (580) 336-3000

2005 N 14th St
Ste 111
Ponca City, OK 74601
Phone (580) 765-0101

904 W 6th Ave
Stillwater, OK 74074
Phone (405) 743-0101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1194863373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S 1ST ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746313825",
            "telephone_number": "580-765-0101",
            "fax_number": "580-765-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S 1ST ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746313825",
            "telephone_number": "580-765-0101",
            "fax_number": "580-765-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN THERAPY & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "BLANDO",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-765-0101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.