Thi of Oklahoma at Edmond, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

THI OF OKLAHOMA AT EDMOND, LLC

Doing business as

Edmond Specialty Hospital

Practice address

1100 E 9TH St
Edmond, OK 73034-5705

Phone

(405) 341-8150

Fax

(405) 341-0105

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Phyllis Williams

Title

President

Phone

(405) 341-8150

Specialties & licenses 1

Addresses

Other names 1

• Edmond Specialty Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 373027

Legal name

HORIZON SPECIALTY HOSPITAL

Certification status

Terminated Other: provider status change, May 31, 1993

Provider type (POS)

Hospital – Rehabilitation

Participating since

Jul 15, 1991

Last certification

Dec 19, 1993

Beds

43

Ownership / control type

Private (for profit)

Facility address

1100 East 9TH Street
Edmond, OK 73034

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1235226416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 9TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345705",
            "telephone_number": "405-341-8150",
            "fax_number": "405-341-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF OKLAHOMA AT EDMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-341-8150"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmond Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicki Jo Theodoridis, M.ED.,CCC-SLP
• Therapy & Developmental Resources of Oklahoma, PLLC
• Therapy in Motion of Oklahoma LLC
• Therapy in Motion, PC
• Therapy Specialists of Ok LLC
• Thomas Baroi Counseling Services
• Amy Renee Thomas, SLP
• Annalee Thomas
• Ashley Noelle Thomas, RDH
• Jaison Thomas, APRN, FNP-C

• Long Term Care Hospital in Edmond, OK
• Providers in Edmond, OK by specialty
• Long Term Care Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.