NPIMap

Organization Active NPI

Redbud Physical Rehabilitation PC

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1356339659
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REDBUD PHYSICAL REHABILITATION PC
Practice address
4008 S Yale Ave
Tulsa, OK 74135-6017
Phone
(918) 622-4278
Fax
(918) 622-4844
NPI assigned
Oct 11, 2005
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Mrs. Shannon Carter
Title
Human Resources
Phone
(918) 622-4126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4008 S Yale Ave
Tulsa, OK 74135-6017

Mailing address

4812 E 33Rd St
Tulsa, OK 74135-2038
Phone (918) 622-4126

National Provider Directory

National Provider Directory

Locations

1621 S Eucalyptus Ave
Broken Arrow, OK 74012
Phone (918) 252-0513

12641 S State Highway 51
Coweta, OK 74429
Phone (918) 486-1338

500 E 141st St
Glenpool, OK 74033
Phone (918) 322-3884

12326 E 86th St N
Owasso, OK 74055
Phone (918) 272-1923

1486 S Elliott St
Pryor, OK 74361
Phone (918) 825-2333

200 N Main St
Sand Springs, OK 74063

1119 E 4th St
Tulsa, OK 74120
Phone (918) 382-0200

3030 E 91st St
Tulsa, OK 74137
Phone (918) 299-6651

4004 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126

4526 S Peoria Ave
Tulsa, OK 74105
Phone (918) 794-9000

4812 E 33rd St
Tulsa, OK 74135
Phone (918) 622-4126

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1356339659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352038",
            "telephone_number": "918-622-4126",
            "fax_number": "918-270-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356017",
            "telephone_number": "918-622-4278",
            "fax_number": "918-622-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBUD PHYSICAL REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "918-622-4126",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 5, 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.