Provider Demographics
NPI:1235156035
Name:COMPREHENSIVE THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:M
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:405-330-3500
Mailing Address - Street 1:15500 JEFFERSONS GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1410
Mailing Address - Country:US
Mailing Address - Phone:405-330-3500
Mailing Address - Fax:405-330-3505
Practice Address - Street 1:15500 JEFFERSONS GARDEN CT
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1410
Practice Address - Country:US
Practice Address - Phone:405-330-3500
Practice Address - Fax:405-330-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT 945225100000X
OKPT 3020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100834810AMedicaid
OK100834810AMedicaid