Provider Demographics
NPI:1689740698
Name:TRINITY THERAPY SERVICES, L.L.C.
Entity Type:Organization
Organization Name:TRINITY THERAPY SERVICES, L.L.C.
Other - Org Name:TRINITY REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-622-4799
Mailing Address - Street 1:4500 S GARNETT RD
Mailing Address - Street 2:SUITE # 610
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-5229
Mailing Address - Country:US
Mailing Address - Phone:918-622-4799
Mailing Address - Fax:918-622-1905
Practice Address - Street 1:1503 CLAYTON AVE
Practice Address - Street 2:
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-4102
Practice Address - Country:US
Practice Address - Phone:918-647-9026
Practice Address - Fax:918-647-8968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation