NPIMap

Organization Active NPI

Rehabilitation Associates of Muskogee

  • Physical Medicine & Rehabilitation Physician
  • Muskogee, OK
National Provider Identifier
1639391154
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
23633 Issued in OK
Legal business name
REHABILITATION ASSOCIATES OF MUSKOGEE
Practice address
333 S 36TH St
Muskogee, OK 74401-5046
Phone
(918) 682-2815
Fax
(918) 682-8643
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Andrew R Olshen, MDNPI 1386663532
Title
President
Phone
(918) 682-2815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 23633 OK Primary

Addresses

Primary practice location

333 S 36TH St
Muskogee, OK 74401-5046

Mailing address

333 S 36TH St
Muskogee, OK 74401-5046
Phone (918) 682-2815

National Provider Directory

National Provider Directory

Locations

333 S 36th St
Muskogee, OK 74401
Phone (918) 682-2815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1639391154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015046",
            "telephone_number": "918-682-2815",
            "fax_number": "918-682-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015046",
            "telephone_number": "918-682-2815",
            "fax_number": "918-682-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ASSOCIATES OF MUSKOGEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "OLSHEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-682-2815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "23633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.