Active NPI
Green Country Rehabilitation, LLC
- Home Health Agency
- Tulsa, OK
National Provider Identifier
1417353152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3659
- Legal business name
- GREEN COUNTRY REHABILITATION, LLC
- Practice address
- 1414 S Denver Ave
Tulsa, OK 74119-3423 - Phone
- (918) 712-7805
- Fax
- (918) 712-7813
- NPI assigned
- Nov 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan Barry, MPT
- Title
- Physical Therapist
- Phone
- (918) 712-7805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 3659 | OK | Primary |
Addresses
Primary practice location
1414 S Denver Ave
Tulsa, OK 74119-3423
Mailing address
17850 Red Oak Cir
Collinsville, OK 74021-6295
Phone (918) 671-6804
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Tulsa, OK
- NPI 1245617257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1417353152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17850 RED OAK CIR",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740216295",
"telephone_number": "918-671-6804",
"fax_number": "918-553-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 S DENVER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741193423",
"telephone_number": "918-712-7805",
"fax_number": "918-712-7813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN COUNTRY REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "918-712-7805",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OK",
"license": "3659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Green Country Mental Health & Therapeutic Services, PLC
- Green Country Pain Management
- Green Country Podiatry Center, P.C.
- Green Country Preventative Medicine, LLC
- Green Country Rehabilitation, LLC
- Green Country Sports Physical Medicine and Rehab PC
- Green Country Wound Care of Muskogee PC
- Joyce Green-Halford, OTRL CHT
- Amber Yvonne Green, BS
- Ashley Green
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.