Mizraim Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4016 Issued in OK

Legal business name

MIZRAIM PHYSICAL THERAPY LLC

Practice address

3809 W 106TH St S
Sapulpa, OK 74066-1628

Phone

(918) 527-7119

NPI assigned

May 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rimoun Hanna, DPT

Title

Physical Therapist

Phone

(918) 527-7119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242432000000",
    "number": "1255566550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 W 106TH ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740661628",
            "telephone_number": "918-527-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 W 106TH ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740661628",
            "telephone_number": "918-527-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZRAIM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-16",
        "last_updated": "2009-05-16",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "RIMOUN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-527-7119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emil Bozidar Milosavljevic, MD
• Mindcare
• Mindful Peace Trauma Therapy LLC
• Brooke L Miner, LPN
• Mission Street Medical Clinic Inc
• Norka Moran
• Anna Moreland
• Alexandra Morelli
• Dennis Martin Morris, O.D.
• Katherine Morrison

• Physical Therapist in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2009; 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.