Provider Demographics
NPI:1891708418
Name:JUST FOR THERAPY INCORPORATED
Entity Type:Organization
Organization Name:JUST FOR THERAPY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR OF PT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:RUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-872-1550
Mailing Address - Street 1:PO BOX 721505
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070
Mailing Address - Country:US
Mailing Address - Phone:405-872-1550
Mailing Address - Fax:405-872-1510
Practice Address - Street 1:207 ELM
Practice Address - Street 2:
Practice Address - City:NOBLE
Practice Address - State:OK
Practice Address - Zip Code:73068
Practice Address - Country:US
Practice Address - Phone:405-872-1550
Practice Address - Fax:405-872-1510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2010-01-18
Deactivation Date:2008-03-27
Deactivation Code:
Reactivation Date:2009-05-21
Provider Licenses
StateLicense IDTaxonomies
OKPT1983225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========OtherTAX ID
OK800522294Medicare PIN
OKOK404227Medicare PIN