Integris Jim Thorpe Rehabilitation Moore

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

TA73 Issued in OK

Legal business name

INTEGRIS JIM THORPE REHABILITATION MOORE

Practice address

2111 Riverwalk Dr
Moore, OK 73160-2700

Phone

(405) 793-7885

Fax

(405) 793-7893

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Elizabeth Denton

Title

Physical Therapist Assistant

Phone

(405) 559-8498

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1538439286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 RIVERWALK DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602700",
            "telephone_number": "405-793-7885",
            "fax_number": "405-793-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 RIVERWALK DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602700",
            "telephone_number": "405-793-7885",
            "fax_number": "405-793-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS JIM THORPE REHABILITATION MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "405-559-8498",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "TA73",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innate Life LLC
• Innovative Medical Supply, LLC
• Integrated Therapy Solutions of Oklahoma, LLC
• Integris Ambulatory Care Corporation
• Integris Health
• J Carroll Counseling, LLC
• J J Richardson DDS PLLC
• Jerry Jack, DDS
• Jackalope Therapy
• Amy Estelle Jackson, P.T.

• Physical Therapy Clinic/Center in Moore, OK
• Providers in Moore, 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 Jan 11, 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.