NPIMap

Organization Active NPI

Four State Rehabilitation

  • Specialist
  • Broken Arrow, OK
National Provider Identifier
1275759664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FOUR STATE REHABILITATION
Practice address
2208 N Yellowood Ave
Broken Arrow, OK 74012-9102
Phone
(918) 286-1261
Fax
(918) 286-1265
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michelle Murphy, SLPNPI 1134157845
Title
President
Phone
(918) 286-1261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

2208 N Yellowood Ave
Broken Arrow, OK 74012-9102

Mailing address

2208 N Yellowood Ave
Broken Arrow, OK 74012-9102
Phone (918) 286-1261

National Provider Directory

National Provider Directory

Locations

2208 N Yellowood Ave
Broken Arrow, OK 74012
Phone (918) 286-1261

Practitioners & affiliated clinicians

Practitioners 9

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275759664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 N YELLOWOOD AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129102",
            "telephone_number": "918-286-1261",
            "fax_number": "918-286-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 N YELLOWOOD AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129102",
            "telephone_number": "918-286-1261",
            "fax_number": "918-286-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STATE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-286-1261",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.