NPIMap

Organization Active NPI

R & S Optimal Rehab LLC

  • Physical Therapy Clinic/Center
  • Moore, OK
National Provider Identifier
1275839326
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
OKPT3210 Issued in OK
Legal business name
R & S OPTIMAL REHAB LLC
Practice address
1700 S Broadway St
Ste B
Moore, OK 73160-5300
Phone
(405) 735-8777
Fax
(405) 735-8778
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Mr. Shawn Michael Smith, P.T.
Title
Owner/Operator
Phone
(405) 735-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OKPT3210 OK Primary

Addresses

Primary practice location

1700 S Broadway St
Ste B
Moore, OK 73160-5300

Mailing address

1700 S Broadway St
Ste B
Moore, OK 73160-5300
Phone (405) 735-8777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1275839326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S BROADWAY ST",
            "address_2": "STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605300",
            "telephone_number": "405-735-8777",
            "fax_number": "405-735-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BROADWAY ST",
            "address_2": "STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605300",
            "telephone_number": "405-735-8777",
            "fax_number": "405-735-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & S OPTIMAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "405-735-8777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "OKPT3210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.