Oklahoma Pain & Rehab LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

OKLAHOMA PAIN & REHAB LLC

Practice address

2121 S Columbia Ave
Suite 501
Tulsa, OK 74114-3505

Phone

(918) 747-0716

NPI assigned

Apr 18, 2011

Organization subpart

No

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

Authorized official

Name

Kim Ryan

Title

Owner

Phone

(405) 926-7926

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1710277207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE",
            "address_2": "SUITE 501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE",
            "address_2": "SUITE 501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143505",
            "telephone_number": "918-747-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA PAIN & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-926-7926"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Oncology Inc (Joseph P Lych MD)
• Oklahoma Oncology Inc (Lance G Miller MD)
• Oklahoma Oncology, Inc.
• Oklahoma Orthopeadic Institute (Children's Orthopaedic Institute of Oklahoma)
• Oklahoma Orthopedic Network LLC
• Oklahoma Pain and Wellness Center, PLC
• Oklahoma Periodontics (Eastern Oklahoma Periodotnics)
• Oklahoma Physical Therapy
• Oklahoma Physicians Eyecare Group, P.C.
• Oklahoma Primary Care Solutions PC (Solstice Living Solutions)

• Sports Medicine (Family Medicine) Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Sports Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.