Organization
REDBUD PHYSICAL REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON CARTER (HUMAN RESOURCES)
(918) 622-4126
Entity
Organization
Contact information
Practice address
4008 S YALE AVE, TULSA, OK 74135-6017
(918) 622-4278
(918) 622-4844
Mailing address
4812 E 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200034500A
MEDICAID LEGACY
OK
05
—
200034500A
—
OK
05
—
200034500B
—
OK
05
—
200034500C
—
OK
05
—
200034500D
—
OK
05
—
200034500E
—
OK
05
—
200034500F
—
OK
05
—
200034500G
—
OK
05
—
200034500H
—
OK
05
—
200034500I
—
OK
01
—
700522061
MEDICARE
OK
01
—
CJ4389
MEDICARE RAILROAD
—
Enumeration date
10/11/2005
Last updated
05/05/2011
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