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NEURORESOURCES REHABILITATION SPECIALISTS, LLC
NPI 1417968249
Specialist in Oklahoma City, OK

Active since August 10, 2006
6108 NW 63RD STREET, SUITE B, OKLAHOMA CITY, OK 73132(405) 605-1466(405) 605-1467 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neuroresources Rehabilitation Specialists, Llc NPPES

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

NEURORESOURCES REHABILITATION SPECIALISTS, LLC (NPI 1417968249) is a healthcare organization registered as a specialist in Oklahoma City, Oklahoma and active in the NPI registry since August 2006. The organization lists Teresa Marie Tisdell, Owner, as its authorized official.

NPPES Registry Identity

NPI1417968249
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEURORESOURCES REHABILITATION SPECIALISTS, LLC
Location Address6108 NW 63RD STREET, SUITE BOklahoma City, OK 73132-7553
Mailing AddressPo Box 12036Oklahoma City, OK 73157-2036 · (405) 605-1466 · Fax (405) 605-1467
Phone(405) 605-1466
Fax(405) 605-1467
Organization SubpartNo
Authorized OfficialTeresa Marie TisdellOwner · (405) 605-1466
Enumeration DateAugust 10, 2006
Last NPPES UpdateNovember 8, 2011
✔ NPI 1417968249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · OT646
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6108 NW 63RD STREET, Oklahoma City, OK 73132
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Other Identifiers 3

Medicaid100660200AOK
Medicare UPINQ46471OK
Medicare ID-Type Unspecified238518902OK · Otr/l, Mph, Atp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Neuroresources Rehabilitation Specialists, LLC's NPI number?

The NPI number for Neuroresources Rehabilitation Specialists, LLC is 1417968249. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Neuroresources Rehabilitation Specialists, LLC located?

Neuroresources Rehabilitation Specialists, LLC is located at 6108 NW 63rd Street Suite B, Oklahoma City, OK 73132. The listed phone number is (405) 605-1466.

What is Neuroresources Rehabilitation Specialists, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Neuroresources Rehabilitation Specialists, LLC was last updated on November 8, 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.