NPIMap

Organization Active NPI

Marlow Therapy and Sports Rehab Solutions, PLLC

  • Physical Therapist
  • Marlow, OK
National Provider Identifier
1407101413
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3809 Issued in OK
Legal business name
MARLOW THERAPY AND SPORTS REHAB SOLUTIONS, PLLC
Practice address
911 N Broadway St
Marlow, OK 73055-1224
Phone
(405) 650-7531
NPI assigned
Jul 16, 2012
Last updated
Jul 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Mr. Robert G. Raines, PTNPI 1295975688
Title
Physical Therapist/Owner
Phone
(405) 650-7531

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3809 OK Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 2005 OK
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1618 OK

Addresses

Primary practice location

911 N Broadway St
Marlow, OK 73055-1224

Mailing address

911 N Broadway St
Marlow, OK 73055-1224

National Provider Directory

National Provider Directory

Locations

911 N Broadway St
Marlow, OK 73055
Phone (405) 650-7531

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": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1407101413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N BROADWAY ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730551224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N BROADWAY ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730551224",
            "telephone_number": "405-650-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLOW THERAPY AND SPORTS REHAB SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "405-650-7531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3809",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2005",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.