Organization Active NPI

Oklahoma Rehab Services, Inc.

Doing business as Oklahoma Rehab Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tulsa, OK
National Provider Identifier
1326117888
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
OK1843 Issued in OK
Legal business name
OKLAHOMA REHAB SERVICES, INC.
Doing business as
Oklahoma Rehab Services
Practice address
4833 S Sheridan Rd
Suite 414
Tulsa, OK 74145-5750
Phone
(918) 488-9992
Fax
(918) 488-9993
NPI assigned
Nov 7, 2006
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Bobby N Daniel, DONPI 1154331726
Title
President
Phone
(918) 488-9992

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
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OK1843 OK Primary

Addresses

Primary practice location

4833 S Sheridan Rd
Suite 414
Tulsa, OK 74145-5750

Mailing address

4833 S Sheridan Rd
Suite 414
Tulsa, OK 74145-5750
Phone (918) 488-9992

Other identifiers 5

IdentifierTypeStateIssuer
611954700OtherOKUS DEPT OF LABOR
100748900CMedicaidOK
700522047OtherOKMEDICARE PART B
000374507001OtherOKBCBS
731596739OtherOKTRICARE

Other names 1

  • Oklahoma Rehab Services Doing business as

National Provider Directory

National Provider Directory

Locations

4833 S Sheridan Rd
Ste 414
Tulsa, OK 74145
Phone (918) 488-9992

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1326117888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 S SHERIDAN RD",
            "address_2": "SUITE 414",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455750",
            "telephone_number": "918-488-9992",
            "fax_number": "918-488-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 S SHERIDAN RD",
            "address_2": "SUITE 414",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455750",
            "telephone_number": "918-488-9992",
            "fax_number": "918-488-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-488-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "OK",
            "license": "OK1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "611954700",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748900C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "700522047",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000374507001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "731596739",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.