Impact Rehab Consultants

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

IMPACT REHAB CONSULTANTS

Doing business as

Impact Rehabilitation and wellness

Practice address

813 E 6TH St Ste 300
Okmulgee, OK 74447-4701

Phone

(918) 756-3330

Fax

(918) 756-3332

NPI assigned

Jun 18, 2018

Last updated

Aug 18, 2023By 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

Mrs. Kristine G Siegenthaler, OTNPI 1992771703

Title

Owner

Phone

(918) 809-8666

Specialties & licenses 1

Addresses

Other names 1

• Impact Rehabilitation and wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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.

• Kristine Grunewald Siegenthaler, OTRL/CHT/CLT

  • Hand Occupational Therapist
  • Okmulgee, OK
  • NPI 1992771703
  Medicare reassignment Care Compare group NPD Authorized official
• Kelly Elizabeth Bailey, PT

  • Physical Therapist
  • Broken Arrow, OK
  • NPI 1588117212
  Medicare reassignment Care Compare group NPD
• L Michael Siegenthaler, PT, DPT

  • Physical Therapist
  • Okmulgee, OK
  • NPI 1801861711
  Medicare reassignment Care Compare group NPD
• Gabrielle Renee Tucker, PTA

  • Physical Therapy Assistant
  • Okmulgee, OK
  • NPI 1609442508
  NPD

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1972097657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E 6TH ST STE 300",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474701",
            "telephone_number": "918-756-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E 6TH ST STE 300",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474701",
            "telephone_number": "918-756-3330",
            "fax_number": "918-756-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT REHAB CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "SIEGENTHALER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-809-8666",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Rehabilitation and wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impact Rehabilitation and wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Linn Hudgins, MSW
• Taylor Cheyenne Hudson, LPC
• William Loren Hull, OD
• Dianna Patricia Humphrey, LPC
• April M Hurst
• Stephenie M Ivy, M.ED, LPC
• Emmanuel Jackson-Bishop
• Carol Wesslyn Jackson
• Denise Ann Jackson, BSW
• Teri Dawn Jacobs

• Occupational Therapist in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.