# REHABSOURCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063425023
- **Authorized official:** MIKE DIMOND (TRUSTEE)
- **Authorized official phone:** (405) 943-1144

## Contact information

- **Practice address:** 4350 WILL ROGERS PKWY, SUITE 600, OKLAHOMA CITY, OK 73108-1826
- **Practice address phone:** (405) 943-1144
- **Practice address fax:** (405) 943-0127
- **Mailing address:** 4350 WILL ROGERS PKWY, SUITE 600, OKLAHOMA CITY, OK 73108-1826
- **Mailing address phone:** (405) 943-1144
- **Mailing address fax:** (405) 943-0127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 09/11/2025