Organization Active NPI

Firstcare Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Clinton, OK
National Provider Identifier
1932101946
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT2120 Issued in OK
Legal business name
FIRSTCARE REHABILITATION, INC.
Practice address
1725 S Highway 183
Suite 100
Clinton, OK 73601-9533
Phone
(580) 323-1682
Fax
(580) 323-1711
NPI assigned
Aug 10, 2005
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Mr. Lonnie Brand Hartsell
Title
Vice-President
Phone
(580) 323-1682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT2120 OK Primary

Addresses

Primary practice location

1725 S Highway 183
Suite 100
Clinton, OK 73601-9533

Mailing address

PO Box 334
Clinton, OK 73601-0334
Phone (580) 323-1682

Other identifiers 1

IdentifierTypeStateIssuer
100745510AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1906 W Gary Blvd
Clinton, OK 73601
Phone (580) 323-1682

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1932101946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736010334",
            "telephone_number": "580-323-1682",
            "fax_number": "580-323-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S HIGHWAY 183",
            "address_2": "SUITE 100",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736019533",
            "telephone_number": "580-323-1682",
            "fax_number": "580-323-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCARE REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "HARTSELL",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "BRAND",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "580-323-1682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "PT2120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100745510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.