Prehab Physical Therapy Clinic Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

655 Issued in OK

Legal business name

PREHAB PHYSICAL THERAPY CLINIC INC.

Practice address

2716 W Gore Blvd
Suite D
Lawton, OK 73505-6305

Phone

(580) 355-1766

Fax

(580) 357-8750

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ruth M Ross, R.P.T.NPI 1609033414

Title

President

Phone

(580) 355-1766

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Ruth M Ross, PT

  • Physical Therapist
  • Lawton, OK
  • NPI 1609033414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1548316680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6626",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735060626",
            "telephone_number": "580-355-1766",
            "fax_number": "580-357-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 W GORE BLVD",
            "address_2": "SUITE D",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056305",
            "telephone_number": "580-355-1766",
            "fax_number": "580-357-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREHAB PHYSICAL THERAPY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-355-1766",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "443560173001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prairie Rose Medical Group, PLLC
• Robin Rachel Prater, LPTA
• Dominique Lamar Pratt, ATC
• Kristi Dawn Pratt, APRN-CNP
• Ramon O Pratts, M.D.
• Premier Behavorial Health
• Premise Health of Oklahoma Medical, P.C
• Belinda Price
• Jordan Renee Price, DO
• Ronnie Price

• Physical Therapy Clinic/Center in Lawton, OK
• Providers in Lawton, 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 May 5, 2010; 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.