Harvard Rehabilitation Services of Tulsa, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

374510 Issued in OK

Legal business name

HARVARD REHABILITATION SERVICES OF TULSA, INC.

Practice address

11041 S Memorial Dr
Tulsa, OK 74133-7357

Phone

(918) 394-5552

Fax

(918) 394-5553

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leon Martinez Jr.

Title

Owner

Phone

(918) 394-5552

Specialties & licenses 2

Addresses

Other names 1

• Restore Therapy of Oklahoma Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dala R Jarolim, MD FACP

  • Internal Medicine Physician
  • Jenks, OK
  • NPI 1114997582
  NPD (past)
• Jonathan Davis Tatum, PT

  • Physical Therapist
  • Tulsa, OK
  • NPI 1558423228
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1881708196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337357",
            "telephone_number": "918-394-5552",
            "fax_number": "918-394-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337357",
            "telephone_number": "918-394-5552",
            "fax_number": "918-394-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD REHABILITATION SERVICES OF TULSA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-394-5552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "OK",
            "license": "374510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Therapy of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harvard Family Clinic Inc
• Harvard Family Physicians P C
• Harvard Family Physicians P C
• Harvard Optical, LLC
• Harvard Rehabilitation Group, Inc
• Harvey Payne
• Angela Harvey
• Ashley Harvey
• Ashley Taylor Harvey, OTR/L
• Deawna M Harvey

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.