Active NPI
Integris Rehab LLC
- Nursing Facility/Intermediate Care Facility
- Coweta, OK
National Provider Identifier
1720326622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- INTEGRIS REHAB LLC
- Practice address
- 14145 S 220TH East Ave
Coweta, OK 74429-6269 - Phone
- (918) 809-9441
- Fax
- (539) 573-9680
- NPI assigned
- Jan 28, 2013
- 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
- Chris Laymon
- Title
- Manager
- Phone
- (918) 809-9441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
14145 S 220TH East Ave
Coweta, OK 74429-6269
Mailing address
14145 S 220TH East Ave
Coweta, OK 74429-6269
Phone (918) 809-9441
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1720326622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14145 S 220TH EAST AVE",
"city": "COWETA",
"state": "OK",
"postal_code": "744296269",
"telephone_number": "918-809-9441",
"fax_number": "539-573-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14145 S 220TH EAST AVE",
"city": "COWETA",
"state": "OK",
"postal_code": "744296269",
"telephone_number": "918-809-9441",
"fax_number": "539-573-9680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRIS REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "918-809-9441"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coweta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.