Oklahoma Pediatric Therapy Center

LBN: Complete Rehab, Llc
Oklahoma Pediatric Therapy Center is an health care organization with primary practice located at 1824 Commons Circle Suite B, Yukon OK 73099-9527. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Complete Rehab, Llc can be contacted via phone (405) 324-0961, or through Miller Housh, Amanda Michelle via phone (405) 324-0961.

Contact Information

Primary practice address
1824 Commons Circle Suite B Yukon OK 73099-9527
Phone: (405) 324-0961
Fax: (405) 324-0971
Website:
Map and Directions
Authorized official contact:
Name: Miller Housh, Amanda Michelle
Phone: (405) 324-0961

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2776 Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3751 Oklahoma
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1497178156
LBN Legal business name Complete Rehab, Llc
DBA Doing business as Oklahoma Pediatric Therapy Center
Authorized official Miller Housh, Amanda Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2014
Last updated Jan 24th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497178156 NPPES
Oklahoma MEDICAID 200527550A

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