Organization
NORTHEASTERN PHYSICAL REHAB
Active
Organization
NORTHEASTERN PHYSICAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL BRENT SCOTT PT (PHYSICAL THERAPIST)
(918) 458-5115
Entity
Organization
Contact information
Practice address
2021 MAHANEY AVE STE 6, TAHLEQUAH, OK 74464-5795
(918) 458-5115
(918) 458-5119
Mailing address
2021 MAHANEY AVE STE 6, TAHLEQUAH, OK 74464-5795
(918) 458-5115
(918) 458-5119
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2083
OK
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up