Organization Active NPI

Physical Rehabilitation Center on Riverside, LLC

  • Physical Therapy Clinic/Center
  • Tulsa, OK
National Provider Identifier
1477865210
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL REHABILITATION CENTER ON RIVERSIDE, LLC
Practice address
9716 Riverside Pkwy
201
Tulsa, OK 74137-7397
Phone
(918) 749-0003
Fax
(918) 749-0210
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Gail M Pianalto
Title
President
Phone
(918) 749-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9716 Riverside Pkwy
201
Tulsa, OK 74137-7397

Mailing address

5577 S Lewis Ave
Tulsa, OK 74105-7132
Phone (918) 749-0003

National Provider Directory

National Provider Directory

Locations

9716 Riverside Pkwy
Ste 201
Tulsa, OK 74137
Phone (918) 615-6280

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1477865210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057132",
            "telephone_number": "918-749-0003",
            "fax_number": "918-749-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9716 RIVERSIDE PKWY",
            "address_2": "201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377397",
            "telephone_number": "918-749-0003",
            "fax_number": "918-749-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL REHABILITATION CENTER ON RIVERSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "PIANALTO",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-749-0003"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

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