Active NPI
Green Country Rehabilitation, LLC
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1225436371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GREEN COUNTRY REHABILITATION, LLC
- Practice address
- 1414 S Denver Ave
Tulsa, OK 74119-3423 - Phone
- (918) 712-7805
- Fax
- (918) 712-7813
- NPI assigned
- Dec 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Barry, P.T.
- Title
- Owner/PT
- Phone
- (918) 510-0880
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1414 S Denver Ave
Tulsa, OK 74119-3423
Mailing address
1414 S Denver Ave
Tulsa, OK 74119-3423
Phone (918) 712-7805
National Provider Directory
National Provider DirectoryLocations
1414 S Denver Ave
Tulsa, OK 74119
Phone (918) 712-7805
1519 S Boston Ave
Tulsa, OK 74119
Phone (918) 712-7805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417737600000",
"number": "1225436371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 S DENVER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741193423",
"telephone_number": "918-712-7805",
"fax_number": "918-712-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 S DENVER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741193423",
"telephone_number": "918-712-7805",
"fax_number": "918-712-7813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN COUNTRY REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER/PT",
"authorized_official_telephone_number": "918-510-0880",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Green Country Medical Equipment Inc
- Green Country Mental Health & Therapeutic Services, PLC (Green Country Therapeutics)
- Green Country Pain Management
- Green Country Podiatry Center, P.C.
- Green Country Preventative Medicine, LLC
- Green Country Rehabilitation, LLC
- Green Country Sports Physical Medicine and Rehab PC
- Green Country Wound Care of Muskogee PC
- Joyce Green-Halford, OTRL CHT
- Amber Yvonne Green, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.