| Rehabvisions | |
|
1309 E Wade Watts Ave Mcalester OK 74501-5658 | |
| (918) 423-2220 | |
| (918) 423-2620 |
| Full Name | Rehabvisions |
|---|---|
| Speciality | Clinic/Center |
| Location | 1309 E Wade Watts Ave, Mcalester, Oklahoma |
| Authorized Official Name and Position | Brenda Kemling (DIRECTOR OF OPERATIONS - CLINICS) |
| Authorized Official Contact | 4023341919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabvisions 1309 E Wade Watts Ave Mcalester OK 74501-5658 Ph: (918) 423-2220 | Rehabvisions 1309 E Wade Watts Ave Mcalester OK 74501-5658 Ph: (918) 423-2220 |
| NPI Number | 1922039882 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Medicare PECOS PAC ID | 6901809227 |
|---|---|
| Medicare Enrollment ID | O20060807000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922039882 | NPI | - | NPPES |
| 200093700A | Medicaid | OK | |
| 700522190 | Other | OK | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 225100000X | Physical Therapist | PT1824 (Oklahoma) | Secondary |
| 225X00000X | Occupational Therapist | 1411 (Oklahoma) | Secondary |
| Provider Name | Shannon Rose Foster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063885150 PECOS PAC ID: 0648570317 Enrollment ID: I20151202000614 |
| Provider Name | Gaela Leatherman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154745362 PECOS PAC ID: 9335428309 Enrollment ID: I20161115000610 |
| Provider Name | Layce Howell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821549825 PECOS PAC ID: 2365722998 Enrollment ID: I20161216001261 |
| Provider Name | Carlie P Rose |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548878416 PECOS PAC ID: 9931519170 Enrollment ID: I20201029001532 |
| Provider Name | Ashleigh Erica Higgins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558977314 PECOS PAC ID: 4385038207 Enrollment ID: I20220218000521 |
| Provider Name | Evan Mackenzie Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487222162 PECOS PAC ID: 2769862093 Enrollment ID: I20220705001888 |
| Provider Name | Rachel Renee Simmers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770118473 PECOS PAC ID: 5294101994 Enrollment ID: I20221020003278 |
| Provider Name | Austin Shan Weiher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023792306 PECOS PAC ID: 6507376431 Enrollment ID: I20250610002429 |
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