Provider Demographics
NPI:1881648483
Name:REHAB AMERICA LLC
Entity Type:Organization
Organization Name:REHAB AMERICA LLC
Other - Org Name:THE THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-609-6145
Mailing Address - Street 1:1044 SW 44TH ST
Mailing Address - Street 2:SUITE 415 # JOHNNIE
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3609
Mailing Address - Country:US
Mailing Address - Phone:405-631-4263
Mailing Address - Fax:405-631-4820
Practice Address - Street 1:1044 SW 44TH ST
Practice Address - Street 2:SUITE 415 # JOHNNIE
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3609
Practice Address - Country:US
Practice Address - Phone:405-631-4263
Practice Address - Fax:405-631-4820
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITAL FOR SPECIAL SURGERY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-19
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKN/A261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK376541Medicare Oscar/Certification
OK1264580001Medicare NSC
OKCN9890Medicare PIN