Active NPI
Rmo - Tulsa, PLLC
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- RMO - TULSA, PLLC
- Practice address
- 5522 S Lewis Ave
Tulsa, OK 74105-7105 - Phone
- (918) 488-8285
- NPI assigned
- Oct 24, 2014
- Last updated
- Oct 24, 2014
- 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
- Dr. Mark Stephen Wilson, M.D.
- Title
- Ceo, Medical Director
- Phone
- (918) 488-8285
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary | |
| Physical Therapist | 225100000X | NU | ||
| Physical Therapy Assistant | 225200000X | NU |
Addresses
Primary practice location
5522 S Lewis Ave
Tulsa, OK 74105-7105
Mailing address
635 W 79TH St
Tulsa, OK 74132-2645
Phone (918) 488-8285
Other names 1
- Rehabilitation Medicine of Oklahoma
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2025697 | Rmo - Tulsa, PLLC | Certificate of waiver | Jun 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
5522 S Lewis Ave
Tulsa, OK 74105
Phone (918) 488-8285
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1225233604
-
- Specialist
- Tulsa, OK
- NPI 1023127065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414108800000",
"number": "1881099414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W 79TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741322645",
"telephone_number": "918-488-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5522 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741057105",
"telephone_number": "918-488-8285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RMO - TULSA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "CEO, MEDICAL DIRECTOR",
"authorized_official_telephone_number": "918-488-8285",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rehabilitation Medicine of Oklahoma",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.