Individual provider Active NPI

Rebekah Mouse, D.C.

  • Chiropractor
  • Tahlequah, OK
National Provider Identifier
1982917068
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3983 Issued in OK
Practice address
5 Plaza South St
Tahlequah, OK 74464-4750
Phone
(918) 708-2563
Fax
(918) 456-3000
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3983 OK Primary

Addresses

Primary practice location

5 Plaza South St
Tahlequah, OK 74464-4750

Mailing address

18630 E 710 Rd
Tahlequah, OK 74464-6289
Phone (918) 931-8733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000090 OK Practitioner - Chiropractic 3375739493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3983OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Health, LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

2067 Mahaney Ave
Tahlequah, OK 74464
Phone (918) 457-9141

5 Plaza South St
Tahlequah, OK 74464
Phone (918) 525-2479

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1982917068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18630 E 710 RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744646289",
            "telephone_number": "918-931-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAZA SOUTH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644750",
            "telephone_number": "918-708-2563",
            "fax_number": "918-456-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSE",
        "first_name": "REBEKAH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.