Red River Rehabilitation Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RED RIVER REHABILITATION INC

Practice address

105 N 5TH Ave
Madill, OK 73446-1203

Phone

(580) 795-3301

Fax

(580) 795-7307

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Daniel Vaughan

Title

President

Phone

(813) 341-2700

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pei Pei Hughes Rossewey, MS, OTR/L, CLWT

  • Occupational Therapist
  • Clearwater, FL
  • NPI 1245561414
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1972695039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MARBELLA PLAZA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197906",
            "telephone_number": "813-341-2700",
            "fax_number": "813-676-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 5TH AVE",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734461203",
            "telephone_number": "580-795-3301",
            "fax_number": "580-795-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-341-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Impact Oklahoma LLC
• Providence Service Corporation of Oklahoma
• Providence Service Corporation of Oklahoma
• Virgilio Pasa Querubin
• Jami Rains
• Red River Rehabilitation, Inc.
• Stacy James Rendon, COTA
• Kaitlyn Richardson
• Amy Robbins
• Rebecca Robertson, MS LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.