Organization Active NPI

Orthopedic and Spine Rehab.Inc

  • Mechanotherapist
  • Oklahoma City, OK
National Provider Identifier
1891971172
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
PT1981 Issued in OK
Legal business name
ORTHOPEDIC AND SPINE REHAB.INC
Practice address
1108 NW 16TH St
Oklahoma City, OK 73106-6001
Phone
(405) 525-1561
Fax
(405) 525-1560
NPI assigned
Jan 16, 2008
Organization subpart
Yes
Parent organization
ORTHOPEDIC AND SPINE REHAB.INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Mr. David Bryan Creel, LEAD
Title
Physical Therapist
Phone
(405) 525-1561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X PT1981 OK Primary

Addresses

Primary practice location

1108 NW 16TH St
Oklahoma City, OK 73106-6001

Mailing address

1108 NW 16TH St
Oklahoma City, OK 73106-6001
Phone (405) 525-1561

National Provider Directory

National Provider Directory
Part of
Orthopedic Spine Reha

Locations

1108 NW 16th St
Oklahoma City, OK 73106
Phone (405) 525-1561

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1891971172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 NW 16TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066001",
            "telephone_number": "405-525-1561",
            "fax_number": "405-525-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 NW 16TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066001",
            "telephone_number": "405-525-1561",
            "fax_number": "405-525-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPINE REHAB.INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC AND SPINE REHAB.INC.",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "CREEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-525-1561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LEAD"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "OK",
            "license": "PT1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 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.