OKLAHOMA PAIN & REHAB LLC
NPI 1013207505
Internal Medicine - Sports Medicine in Oklahoma City, OK

NPI Status: Active since April 18, 2011

Contact Information

2149 SW 59TH ST
SUITE 201
OKLAHOMA CITY, OK
ZIP 73119
Phone: (405) 681-5800

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  • Organization
  • Internal Medicine
  • Sports Medicine
  • CLIA Number: 37D0870608
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About OKLAHOMA PAIN & REHAB LLC

This page provides the complete NPI Profile along with additional information for Oklahoma Pain & Rehab Llc, an internist established in Oklahoma City, Oklahoma operating as a Internal Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1013207505 assigned on April 2011. The practitioner's primary taxonomy code is 207RS0010X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Oklahoma Pain & Rehab Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kim Ryan (Owner)

NPI
1013207505
Provider Name
OKLAHOMA PAIN & REHAB LLC
Entity Type
Organization
Location Address
2149 SW 59TH ST SUITE 201 OKLAHOMA CITY, OK 73119
Location Phone
(405) 681-5800
Mailing Address
2149 SW 59TH ST SUITE 201 OKLAHOMA CITY, OK 73119
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2011
Last Update Date
05-21-2014
Code Navigator

An internist like Oklahoma Pain & Rehab Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Sports Medicine

Taxonomy Code
207RS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM RYAN

Authorized Official Title
OWNER
Authorized Official Phone
(405) 926-7926

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200388340AMEDICAID (05)OK 
OKB6044MEDICARE PIN (08)OK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D0870608
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
USMAN BHUTTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oklahoma Pain & Rehab Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013207505, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 4 + 0 + 1 + 4 + 5 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1013207505.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Specialist
2149 SW 59TH ST, SUITE 104
OKLAHOMA CITY, OK 73119
Specialist
2149 SW 59TH ST, SUITE 101
OKLAHOMA CITY, OK 73119
Family Medicine (Sports Medicine)
2149 SW 59TH ST
OKLAHOMA CITY, OK 73119
Physician Assistant
2149 SW 59TH ST, SUITE 101
OKLAHOMA CITY, OK 73119
Clinic/Center (Primary Care)
2149 SW 59TH ST, SUITE NO. 104
OKLAHOMA CITY, OK 73119
Orthopaedic Surgery
2149 SW 59TH ST, 102
OKLAHOMA CITY, OK 73119
Internal Medicine (Cardiovascular Disease)
2149 SW 59TH ST, SUITE 203
OKLAHOMA CITY, OK 73119
Neuromusculoskeletal Medicine & OMM
2149 SW 59TH ST, SUITE 101
OKLAHOMA CITY, OK 73119
Family Medicine
2149 SW 59TH ST, SUITE NO. 203
OKLAHOMA CITY, OK 73119
Occupational Therapist
2149 SW 59TH ST, 201
OKLAHOMA CITY, OK 73119
Orthopaedic Surgery
2149 SW 59TH ST, SUITE 101
OKLAHOMA CITY, OK 73119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013207505, enumerated as an "organization" on April 18, 2011.

The provider is located at 2149 SW 59TH ST SUITE 201 OKLAHOMA CITY, OK 73119 and the phone number is (405) 681-5800.

Internal Medicine with taxonomy code 207RS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.