Active NPI
Rebekah Mouse, D.C.
- Chiropractor
- Tahlequah, OK
National Provider Identifier
1982917068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3983
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3983 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Health, LLC | Current | 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.
-
- Chiropractor
- Tahlequah, OK
- NPI 1205142700
-
- Family Nurse Practitioner
- Tahlequah, OK
- NPI 1205670957
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.