Structural Rehab

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

STRUCTURAL REHAB

Practice address

12707 East 86TH Street North
Owasso, OK 74055

Phone

(918) 272-7491

Fax

(918) 272-7491

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tracy L. Standridge, D.C.NPI 1184798050

Title

Owner

Phone

(918) 272-7491

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Tracy L. Standridge, D.C.

  • Rehabilitation Chiropractor
  • Owasso, OK
  • NPI 1184798050
  NPD Authorized official
• Ellen Lee, R.P.T.

  • Physical Therapist
  • Stroud, OK
  • NPI 1154500940
  NPD (past)
• Steven Nile Duckworth

  • Physical Therapist
  • Dallas, TX
  • NPI 1669817409
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891860615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 EAST 86TH STREET NORTH",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-272-7491",
            "fax_number": "918-272-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 EAST 86TH STREET NORTH",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-272-7491",
            "fax_number": "918-272-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANDRIDGE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-272-7491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Gail Doss Stewart
• David Stoll, P.A.
• Lori Chris Stoops, LPC
• Ben Lee Strickland, RPH
• Strides Pediatric Therapy
• Lauren Stuart
• Drew Stuckey
• Lavern Jennie Sullins, LMT, MLD-C
• Ashley Sullivan, PHARM. D.
• Gabriela Summerlin

• Physical Medicine & Rehabilitation Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• 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.