Active NPI
Bounce Back Rehab, PLC
- Physical Therapist
- Owasso, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BOUNCE BACK REHAB, PLC
- Practice address
- 12899 E 76TH St N
Suite 116
Owasso, OK 74055-4021 - Phone
- (918) 272-1039
- Fax
- (918) 272-7159
- NPI assigned
- Apr 16, 2013
- Last updated
- Apr 16, 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
- Dana Coplin
- Title
- Partner
- Phone
- (918) 272-1039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Occupational Therapy Assistant | 224Z00000X | NU | ||
| Physical Therapist | 225100000X | NU | Primary | |
| Physical Therapy Assistant | 225200000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
12899 E 76TH St N
Suite 116
Owasso, OK 74055-4021
Mailing address
12899 E 76TH St N
Suite 116
Owasso, OK 74055-4021
Phone (918) 272-1039
National Provider Directory
National Provider DirectoryLocations
12899 E 76th St N
Ste 116
Owasso, OK 74055
Phone (918) 272-1039
Practitioners & affiliated clinicians
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.
-
- Physical Therapy Assistant
- Owasso, OK
- NPI 1770704371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366070400000",
"number": "1760825012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12899 E 76TH ST N",
"address_2": "SUITE 116",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554021",
"telephone_number": "918-272-1039",
"fax_number": "918-272-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12899 E 76TH ST N",
"address_2": "SUITE 116",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554021",
"telephone_number": "918-272-1039",
"fax_number": "918-272-7159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOUNCE BACK REHAB, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A",
"authorized_official_last_name": "COPLIN",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "918-272-1039"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.