Risenhoover Physical Therapy PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RISENHOOVER PHYSICAL THERAPY PLC

Practice address

23 Plaza South St
Tahlequah, OK 74464-4750

Phone

(918) 431-1919

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Rick Neil Risenhoover, RPT

Title

Member Manager Owner

Phone

(918) 431-1919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 376627

Legal name

RISENHOOVER PHYSICAL THERAPY

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Sep 20, 2006

Last certification

Sep 3, 2014

Ownership / control type

Proprietary

Facility address

23 Plaza South
Tahlequah, OK 74464

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1902928583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLAZA SOUTH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644750",
            "telephone_number": "918-431-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLAZA SOUTH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644750",
            "telephone_number": "918-431-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISENHOOVER PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "RISENHOOVER",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "MEMBER MANAGER OWNER",
        "authorized_official_telephone_number": "918-431-1919",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Renee Richardson
• Lauren Jene Richey
• Ann E. Riley, DDS
• Christian Denell Riley
• Rise Center for Recovery
• Ricky Neil Risenhoover, RPT
• Patsy L Ritter
• Jordan Roach
• Jessica Renee Roady, M.S., CCC-SLP
• Kylie Roberson

• Physical Therapist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.