| Northeastern Physical Rehab, Inc. | |
|
1500 E Downing St Ste 210, Tahlequah, OK 74464-3379 | |
| (918) 458-5115 | |
| (818) 458-5119 |
| Full Name | Northeastern Physical Rehab, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1500 E Downing St Ste 210, Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447337423 | NPI | - | NPPES |
| 175254900 | Other | OK | DEPT OF LABOR |
| 200022640 | Medicaid | OK | |
| 650020254 | Other | OK | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1994 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Physical Rehab, Inc. 1500 E Downing St Ste 210, Tahlequah, OK 74464-3379 Ph: (918) 458-5115 | Northeastern Physical Rehab, Inc. 1500 E Downing St Ste 210, Tahlequah, OK 74464-3379 Ph: (918) 458-5115 |
Philip Lee Hill, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 409 Daisy Dr, Ste F2, Tahlequah, OK 74464 Phone: 918-458-9235 Fax: 918-458-9236 | |
Dr. Adam K Richards, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3491 | |
Michael M Moore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2021 Mahaney Ave, Tahlequah, OK 74464 Phone: 918-458-5115 | |
Dr. Eric Everett Rouse, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2021 Mahaney Ave Ste 6, Tahlequah, OK 74464 Phone: 918-458-5115 Fax: 918-458-5119 | |
Mr. Carl Brent Scott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2021 Mahaney Ave., Ste. 6, Northeastern Physical Rehab, Tahlequah, OK 74464 Phone: 918-458-5115 Fax: 918-458-5119 | |
Mrs. Sharon Lea Cox, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-458-2410 Fax: 918-458-2411 | |
Clint Raymer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1920 |