Living Oak Integrated Medicine and Rehabilitation PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

M-12915 Issued in ID

Legal business name

LIVING OAK INTEGRATED MEDICINE AND REHABILITATION PLLC

Practice address

3372 E Jenalan
Post Falls, ID 83854-7787

Phone

(724) 888-9428

Fax

(818) 671-2225

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Timmy Allan Ferrell, M.D.

Title

President

Phone

(724) 888-9428

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1740669365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 E JENALAN",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547787",
            "telephone_number": "724-888-9428",
            "fax_number": "818-671-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 E JENALAN",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547787",
            "telephone_number": "724-888-9428",
            "fax_number": "818-671-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING OAK INTEGRATED MEDICINE AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "TIMMY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-888-9428",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "M-12915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.