Green Country Rehabilitation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

597 Issued in OK

Legal business name

GREEN COUNTRY REHABILITATION

Practice address

3535 NW 58TH St Ste 940
Oklahoma City, OK 73112-4802

Phone

(405) 605-1130

Fax

(405) 605-1402

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terri Lynn- Harris Davis, COTA/L

Title

Cota/L

Phone

(405) 517-8198

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1306243019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST STE 940",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124802",
            "telephone_number": "405-605-1130",
            "fax_number": "405-605-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST STE 940",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124802",
            "telephone_number": "405-605-1130",
            "fax_number": "405-605-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN- HARRIS",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "405-517-8198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "597",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCE PROVIDERS",
            "identifier": "9239",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCE",
            "identifier": "9239",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eletra Great
• Rickey Lee Great, PEER REC SUM SPEC
• Greater Dimensions Health Agency
• Greater Hope Therapeutic Services L.L.C
• Amy Elaine Greco, P.A.
• Alicia Renee Green
• Ashley Green, RBT
• Audra Louise Green, PTA
• Braiden Nicole Green
• Brenda Kaylan Green, MS, RD/LD

• Home Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.