PHYSICAL REHABILITATION CENTER OF MUSKOGEE NPI 1083851505

Clinic/Center (Physical Therapy) in Muskogee, OK

NPI 1083851505 Organization Clinic/Center Physical Therapy

About PHYSICAL REHABILITATION CENTER OF MUSKOGEE

Physical Rehabilitation Center Of Muskogee is a provider established in Muskogee, Oklahoma specializing in clinic/center (physical therapy) . The NPI number of Physical Rehabilitation Center Of Muskogee is 1083851505 and was assigned on January 2009. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Kenneth Raymond Trinidad D.o. (Owner)

NPI

1083851505

Provider NamePHYSICAL REHABILITATION CENTER OF MUSKOGEE
Provider Location Address433 W BROADWAY ST MUSKOGEE, OK 74401
Provider Mailing Address433 W BROADWAY ST MUSKOGEE, OK 74401
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-21-2009
Last Update Date01-21-2009


Primary Taxonomy

Taxonomy Code261QP2000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
License StateOK
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Business Address

PHYSICAL REHABILITATION CENTER OF MUSKOGEE
433 W BROADWAY ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 686-8844
Fax: (918) 686-8898

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Mailing Address

PHYSICAL REHABILITATION CENTER OF MUSKOGEE
433 W BROADWAY ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 686-8844
Fax: (918) 686-8898



Authorized Official

Authorized Official NameDR. KENNETH RAYMOND TRINIDAD D.O.
Authorized Official TitleOWNER
Authorized Official Phone(918) 742-4881

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801338942 EMILEA LOUANN ROUSE
Individual
Case Manager/Care Coordinator433 W BROADWAY ST
MUSKOGEE, OK 74401
(918) 687-7064
1063944957 CECILEE ASHBY
Individual
Case Manager/Care Coordinator433 W BROADWAY ST
MUSKOGEE, OK 74401
(918) 687-7064
1295257962 CODY BROWN
Individual
Behavior Analyst433 W BROADWAY ST
MUSKOGEE, OK 74401
(918) 687-7064
1619492329 HOPE N YOUNGBLOOD
Individual
Counselor (Mental Health)433 W BROADWAY ST
MUSKOGEE, OK 74401
(918) 687-7064
1841763109 MOYA LYNN BARNOSKI
Individual
Behavior Technician433 W BROADWAY ST
MUSKOGEE, OK 74401
(918) 687-7064
1407490568 ENDACIA LYDAY
Individual
Counselor433 W BROADWAY ST
MUSKOGEE, OK 74401
(918) 687-7064
1083252241 COLBY HOLMAN
Individual
Assistant Behavior Analyst433 W BROADWAY ST
MUSKOGEE, OK 74401
(918) 687-7064
1649804337 STACY ELLEN JOHNS
Individual
Case Manager/Care Coordinator433 W BROADWAY ST
MUSKOGEE, OK 74401
(918) 687-7064

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.