Neuroresources Rehabilitation Specialists, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT646 Issued in OK

Legal business name

NEURORESOURCES REHABILITATION SPECIALISTS, LLC

Practice address

6108 NW 63Rd Street
Suite B
Oklahoma City, OK 73132-7553

Phone

(405) 605-1466

Fax

(405) 605-1467

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Marie Tisdell, OTR/L, MPH, ATP

Title

Owner

Phone

(405) 605-1466

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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.

• Melody Duty, P.T.

  • Physical Therapist
  • Yukon, OK
  • NPI 1609973411
  NPD (past)
• Lena Hunt, P.T.

  • Physical Therapist
  • Bethany, OK
  • NPI 1811097835
  NPD (past)
• Stephanie Hunt, OTR/L

  • Specialist
  • Oklahoma City, OK
  • NPI 1417189721
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1417968249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12036",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572036",
            "telephone_number": "405-605-1466",
            "fax_number": "405-605-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 NW 63RD STREET",
            "address_2": "SUITE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731327553",
            "telephone_number": "405-605-1466",
            "fax_number": "405-605-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURORESOURCES REHABILITATION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "TISDELL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-605-1466",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, MPH, ATP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "OT646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100660200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neuro Renovations LLC (Neuro Renovations Chiropractic & Acupuncture)
• Neurology Clinic
• Neurolumen LLC
• Neuropsychology Associates
• Neuroradiology & Pain Solutions, PLLC
• Neuroresources, PLLC
• Neuroscience Specialists PC
• Neurosurgical and Spine Associates of Oklahoma, PC
• Stacy Lyn Neuschaefer, PT
• John Ledrew Neville

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.