NPIMap

Organization Active NPI

Integris South Oklahoma City Corporation

Doing business as Integris Jim Thorpe Outpatient Rehab South

  • Rehabilitation Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1801819099
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2289 Issued in OK
Legal business name
INTEGRIS SOUTH OKLAHOMA CITY CORPORATION
Doing business as
Integris Jim Thorpe Outpatient Rehab South
Practice address
4100 S Douglas Ave
Oklahoma City, OK 73109-3210
Phone
(405) 644-5445
NPI assigned
Jul 26, 2006
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Stanley Hupfelc
Title
President/Ceo
Phone
(405) 949-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2289 OK Primary

Addresses

Primary practice location

4100 S Douglas Ave
Oklahoma City, OK 73109-3210

Mailing address

5400 N Independence Ave
100
Oklahoma City, OK 73112-5300

Other identifiers 1

IdentifierTypeStateIssuer
100700200AMedicaidOK

Other names 1

  • Integris Jim Thorpe Outpatient Rehab South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integris Southwest Med4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4100 S Douglas Ave
Oklahoma City, OK 73109
Phone (405) 644-5182

Practitioners & affiliated clinicians

Practitioners 11

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1801819099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N INDEPENDENCE AVE",
            "address_2": "100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S DOUGLAS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093210",
            "telephone_number": "405-644-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS SOUTH OKLAHOMA CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HUPFELC",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "405-949-6066"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OK",
            "license": "2289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integris Jim Thorpe Outpatient Rehab South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.