NPIMap

Organization Active NPI

Complete Rehab Inc

  • Health Maintenance Organization
  • Yukon, OK
National Provider Identifier
1770799413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
2273 Issued in OK
Legal business name
COMPLETE REHAB INC
Practice address
424 S Mustang Rd
Suite B
Yukon, OK 73099-7315
Phone
(405) 324-0961
Fax
(405) 324-0971
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rhonda Lynn Rackley
Title
Office Manager
Phone
(405) 324-0961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 2273 OK Primary

Addresses

Primary practice location

424 S Mustang Rd
Suite B
Yukon, OK 73099-7315

Mailing address

424 S Mustang Rd
Suite B
Yukon, OK 73099-7315
Phone (405) 324-0961

National Provider Directory

National Provider Directory

Locations

1707 Professional Cir
Yukon, OK 73099
Phone (405) 265-3444

424 S Mustang Rd
Ste B
Yukon, OK 73099
Phone (405) 324-0961

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770799413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S MUSTANG RD",
            "address_2": "SUITE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997315",
            "telephone_number": "405-324-0961",
            "fax_number": "405-324-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MUSTANG RD",
            "address_2": "SUITE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997315",
            "telephone_number": "405-324-0961",
            "fax_number": "405-324-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RACKLEY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-324-0961",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OK",
            "license": "2273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.