| Summit Rehab Llc | |
|
410 W Lillie Blvd, Madill, OK 73446-1270 | |
| (580) 872-4277 | |
| (580) 872-4261 |
| Full Name | Summit Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 410 W Lillie Blvd, Madill, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447480082 | NPI | - | NPPES |
| 200251830A | Medicaid | OK | |
| 200251830D | Medicaid | OK |
| Provider Name | Natalie David |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225107394 PECOS PAC ID: 5294875233 Enrollment ID: I20091222000674 |
| Provider Name | Sean Ohalloran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487778072 PECOS PAC ID: 9739229840 Enrollment ID: I20091222000678 |
| Provider Name | Shane Stovall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205929064 PECOS PAC ID: 0749320851 Enrollment ID: I20100109000135 |
| Provider Name | Donna S Edge |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942322128 PECOS PAC ID: 7214070390 Enrollment ID: I20100211000693 |
| Provider Name | Cheri Morse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659400877 PECOS PAC ID: 9032247184 Enrollment ID: I20100511000178 |
| Provider Name | Darin N Goldsmith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962663419 PECOS PAC ID: 3971765512 Enrollment ID: I20120427000324 |
| Provider Name | Kelli Dawn Kelley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760769707 PECOS PAC ID: 8820309438 Enrollment ID: I20150624000632 |
| Provider Name | Joel Nedley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295199438 PECOS PAC ID: 6709161565 Enrollment ID: I20170320000371 |
| Provider Name | Rebecca Lucas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245848050 PECOS PAC ID: 0345660676 Enrollment ID: I20201026001698 |
| Provider Name | Gary R Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154538445 PECOS PAC ID: 6507205242 Enrollment ID: I20240415002380 |
| Provider Name | Clayton Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023198165 PECOS PAC ID: 1153854229 Enrollment ID: I20241028002547 |
| Provider Name | Nikishi Miche Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205984432 PECOS PAC ID: 5597281279 Enrollment ID: I20250424003791 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Rehab Llc 1405 4th Ave Nw, #296, Ardmore, OK 73401 Ph: () - | Summit Rehab Llc 410 W Lillie Blvd, Madill, OK 73446-1270 Ph: (580) 872-4277 |
Kimberly S Walker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 N 1st St, Madill, OK 73446 Phone: 580-677-9949 | |
Lorae Dawn Sterlin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 N 5th Ave, Madill, OK 73446 Phone: 580-795-3301 Fax: 580-795-7307 | |
Red River Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 N 1st St, Madill, OK 73446 Phone: 580-677-9949 | |
Michael Nietling, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 N 5th Ave, Madill, OK 73446 Phone: 580-795-3301 Fax: 580-795-7307 | |
Gerald C Fitzgibbon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 N 5th Ave, Madill, OK 73446 Phone: 580-795-3301 Fax: 580-795-7307 | |
Darin Neil Goldsmith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 N 5th Ave, Madill, OK 73446 Phone: 580-795-3301 Fax: 580-795-7307 |