Provider Demographics
NPI:1760755193
Name:ORTHOPAEDIC HOME CARE, INC.
Entity Type:Organization
Organization Name:ORTHOPAEDIC HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRICNIPAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WINKELMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:918-712-8400
Mailing Address - Street 1:2417 E 53RD ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-6601
Mailing Address - Country:US
Mailing Address - Phone:918-712-8400
Mailing Address - Fax:918-712-8413
Practice Address - Street 1:2417 E 53RD ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-6601
Practice Address - Country:US
Practice Address - Phone:918-712-8400
Practice Address - Fax:918-712-8413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty