Midstate Rehab LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MIDSTATE REHAB LLC

Practice address

114 S Ash St
Guthrie, OK 73044-4908

Phone

(405) 282-2005

Fax

(405) 282-2129

NPI assigned

Jul 21, 2005

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tandie Hastings

Title

President

Phone

(405) 282-6285

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1437158318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S ASH ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730444908",
            "telephone_number": "405-282-2005",
            "fax_number": "405-282-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S ASH ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730444908",
            "telephone_number": "405-282-2005",
            "fax_number": "405-282-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTATE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "TANDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-282-6285",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200055810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn McLerran, M.D.
• Mercy Hospital Logan County Inc
• Mercy Hospital Logan County, Inc (Mercy Hospital Logan County Guthrie Division Primary Care)
• Mercy Hospital Logan County, Inc
• Micah Steven Metheny, PA
• Amy Alane Mikles, PA-C
• Milestone Therapies of Ok, LLC
• Sigrid Ming, ARNP-CNP
• Connie Jung Moore, PHD, LPC
• Jennifer Kay Moore, M.S.

• Rehabilitation Clinic/Center in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Rehabilitation Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.