ABC PEDIATRIC REHAB LLC – NPI #1679172993
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

ABC PEDIATRIC REHAB LLC is an AHC clinic located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1679172993 to ABC PEDIATRIC REHAB LLC on October 19, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on Apr 07, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABC PEDIATRIC REHAB LLC below.

NPI Profile for
ABC PEDIATRIC REHAB LLC

NPI Number
1679172993
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ABC PEDIATRIC REHAB LLC
Primary location
508 W I 240 SERVICE RD
OKLAHOMA CITY, OK 73139-4400
Phone: (405) 724-9303 Fax: (405) 724-9617
1 Other location(s):
1808 Dorothy Dr
Moore, OK 73170-1457
Phone: (405) 570-2672
Mailing address
1808 DOROTHY DR
MOORE, OK 73170-1457
Phone: (405) 570-2672 Fax:
Organization Subpart
No
Authorized Official
VICTORIA ALVARADO
OWNER/PTA
Phone: (405) 845-3389
Updated
Certification Date
Apr 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ABC PEDIATRIC REHAB LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200950830A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.