Dr Brianna Teel Rehab Services LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DR BRIANNA TEEL REHAB SERVICES LLC

Practice address

1200 W Albany St
Broken Arrow, OK 74012-8146

Phone

(918) 957-3000

NPI assigned

Jun 1, 2019

Organization subpart

No

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

Authorized official

Name

Brianna Teel, MD

Title

Owner

Phone

(972) 492-7545

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559347200000",
    "number": "1235797549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6639 S 224TH EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146644",
            "telephone_number": "979-492-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ALBANY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128146",
            "telephone_number": "918-957-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIANNA TEEL REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-06-01",
        "status": "A",
        "authorized_official_last_name": "TEEL",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-492-7545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; 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.