Active NPI
Pain and Rehab Associates LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tulsa, OK
National Provider Identifier
1639966740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PAIN AND REHAB ASSOCIATES LLC
- Practice address
- 7134 S Yale Ave Ste 500
Tulsa, OK 74136-6352 - Phone
- (918) 841-2466
- NPI assigned
- Apr 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Rhodes
- Title
- Admin
- Phone
- (918) 740-3473
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
7134 S Yale Ave Ste 500
Tulsa, OK 74136-6352
Mailing address
PO Box 700701
Tulsa, OK 74170-0701
Phone (918) 841-2466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1700847118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1639966740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700701",
"city": "TULSA",
"state": "OK",
"postal_code": "741700701",
"telephone_number": "918-841-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7134 S YALE AVE STE 500",
"city": "TULSA",
"state": "OK",
"postal_code": "741366352",
"telephone_number": "918-841-2466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN AND REHAB ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "RHODES",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "918-740-3473"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 24, 2025; 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.