NPIMap

Organization Active NPI

Phoenix Rehab, LLC

  • Skilled Nursing Facility
  • Tulsa, OK
National Provider Identifier
1760748248
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PHOENIX REHAB, LLC
Practice address
1021 Charles Page Blvd
Ste 200
Tulsa, OK 74127-8815
Phone
(918) 585-5109
Fax
(918) 743-3767
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Mr. Larry Cain
Title
Owner
Phone
(918) 585-5109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1021 Charles Page Blvd
Ste 200
Tulsa, OK 74127-8815

Mailing address

1021 Charles Page Blvd
Ste 200
Tulsa, OK 74127
Phone (918) 585-5109

National Provider Directory

National Provider Directory

Locations

1021 Charles Page Blvd
Ste 200
Tulsa, OK 74127
Phone (918) 585-5109

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1760748248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CHARLES PAGE BLVD",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74127",
            "telephone_number": "918-585-5109",
            "fax_number": "918-743-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CHARLES PAGE BLVD",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741278815",
            "telephone_number": "918-585-5109",
            "fax_number": "918-743-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-585-5109",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 9, 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.