Physiatry Services Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSIATRY SERVICES INC

Practice address

19468 SW Coombs Rd
Cache, OK 73527-4824

Phone

(972) 351-2900

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By 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

Tina Small, MDNPI 1720074255

Title

Owner

Phone

(972) 351-2900

Specialties & licenses 1

Addresses

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.

• Tina C Small, MD

  • Physical Medicine & Rehabilitation Physician
  • Lawton, OK
  • NPI 1720074255
  NPD (past) Authorized official

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1679748495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19468 SW COOMBS RD",
            "city": "CACHE",
            "state": "OK",
            "postal_code": "735274824",
            "telephone_number": "972-351-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19468 SW COOMBS RD",
            "city": "CACHE",
            "state": "OK",
            "postal_code": "735274824",
            "telephone_number": "972-351-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIATRY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-351-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comanche County Hospital Authority (LCHC Cache)
• Alena Earnest
• Colby Janette Hunt
• Nicholas Jay Livingston
• Brittany Mansel
• Shelley Ricci, B.S. IN EDUCATION
• Craig Alan Roberts
• Rose Garden Clinic, LLC (Rosenquist Counseling)
• Eric Paul Christian Rosenquist, MS, LPC, LBP
• Bryan Swietek

• Physical Medicine & Rehabilitation Physician in Cache, OK
• Providers in Cache, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.