NORTHEASTERN PHYSICAL REHAB
NPI 1275802639
Clinic/Center - Physical Therapy in Tahlequah, OK

Active since December 14, 2011
2021 MAHANEY AVE STE 6, TAHLEQUAH, OK 74464(918) 458-5115(918) 458-5119 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeastern Physical Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEASTERN PHYSICAL REHAB (NPI 1275802639) is a healthcare organization registered as a physical therapy in Tahlequah, Oklahoma and active in the NPI registry since December 2011. The organization lists Carl Brent Scott, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1275802639
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameNORTHEASTERN PHYSICAL REHAB
Location Address2021 MAHANEY AVE STE 6Tahlequah, OK 74464-5795
Mailing Address2021 Mahaney Ave Ste 6Tahlequah, OK 74464-5795 · (918) 458-5115 · Fax (918) 458-5119
Fax(918) 458-5119
Organization SubpartNo
Authorized OfficialCarl Brent ScottPhysical Therapist · (918) 458-5115
Enumeration DateDecember 14, 2011
NPI 1275802639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in OK · 2083
Definition
An 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.
2021 MAHANEY AVE STE 6, Tahlequah, OK 74464

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2021 MAHANEY AVE STE 6
TAHLEQUAH, OK 74464
Physical Therapy Assistant
2021 MAHANEY AVE STE 6
TAHLEQUAH, OK 74464
Physical Therapist
2021 MAHANEY AVE STE 6
TAHLEQUAH, OK 74464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeastern Physical Rehab's NPI number?

The NPI number for Northeastern Physical Rehab is 1275802639. It was assigned to this organization in the NPPES registry on December 14, 2011.

Where is Northeastern Physical Rehab located?

Northeastern Physical Rehab is located at 2021 Mahaney Ave Ste 6, Tahlequah, OK 74464. The listed phone number is (918) 458-5115.

What is Northeastern Physical Rehab's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Northeastern Physical Rehab was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.