Penney Rehab and Wellness Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2868 Issued in OK

Legal business name

PENNEY REHAB AND WELLNESS CENTER, LLC

Practice address

1004 S Broadway St
Coalgate, OK 74538-2662

Phone

(580) 927-9121

Fax

(888) 780-0916

NPI assigned

Sep 30, 2012

Last updated

Sep 30, 2012By 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

Mr. Stephen John Penney, PT

Title

Director

Phone

(580) 927-0197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348963200000",
    "number": "1497006456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S BROADWAY ST",
            "city": "COALGATE",
            "state": "OK",
            "postal_code": "745382662",
            "telephone_number": "580-927-9121",
            "fax_number": "888-780-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S BROADWAY ST",
            "city": "COALGATE",
            "state": "OK",
            "postal_code": "745382662",
            "telephone_number": "580-927-9121",
            "fax_number": "888-780-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNEY REHAB AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-30",
        "last_updated": "2012-09-30",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-927-0197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "2868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakesa Mace, LPC
• Kevin Milam, R.T.(R)
• New Horizons Treatment Services LLC
• Palace Drug of Coalgate LLC (Palace Drug)
• Kenda Pebworth
• Stephen John Penney, P.T.
• Tracy Mowdy Penney, M.S. CCC-SLP
• Pennington Creek Life House
• Richard J Helton (Helton Rural Health Clinic)
• Richard J Helton

• Physical Therapy Clinic/Center in Coalgate, OK
• Providers in Coalgate, OK by specialty
• Physical Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.