Physical Rehabilitation Center on Mingo LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL REHABILITATION CENTER ON MINGO LLC

Practice address

8165 S Mingo Rd Ste 101
Tulsa, OK 74133-4667

Phone

(918) 615-6280

Fax

(918) 615-6240

NPI assigned

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Gail M Pianalto

Title

Manager

Phone

(918) 615-6280

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physical Therapy Specialists of South Tulsa Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Dean Negley, DPT

  • Physical Therapist
  • Tulsa, OK
  • NPI 1952342164
  Medicare reassignment NPD
• Hunter C Gnose, PTA

  • Physical Therapy Assistant
  • Tulsa, OK
  • NPI 1699469361
  NPD
• Jillyan Avery Long, PTA

  • Physical Therapy Assistant
  • Tulsa, OK
  • NPI 1548854557
  NPD
• Valerie Lynn Santiago, PTA

  • Physical Medicine & Rehabilitation Physician
  • Tulsa, OK
  • NPI 1467046474
  NPD
• Kirsten Elizabeth Howell, PTA

  • Physical Medicine & Rehabilitation Physician
  • Tulsa, OK
  • NPI 1255925251
  NPD (past)
• Katie Turner Bumgarner, DPT

  • Physical Therapist
  • Okmulgee, OK
  • NPI 1770132953
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1467956938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334667",
            "telephone_number": "918-615-6280",
            "fax_number": "918-615-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334667",
            "telephone_number": "918-615-6280",
            "fax_number": "918-615-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL REHABILITATION CENTER ON MINGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "PIANALTO",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-615-6280"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200839890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Specialists of South Tulsa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Rehab, LLC
• James Timothy Phoenix II, MD
• PHP Ok PC
• Binh Thai Phung, D.O.
• Physical Rehabilitation Center Inc.
• Physical Rehabilitation Center on Riverside, LLC
• Physical Therapy 4 Me, PLLC
• Physical Therapy Consultants of Tulsa Inc
• Physical Therapy Specialists of Tulsa LLC
• Clara Pianalto

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.