Broken Arrow Rehabilitation Specialists
NPI 1477746741ActiveOrganization· Rehabilitation Practitioner· Broken Arrow, OK
Rehabilitation Practitioner in Broken Arrow, Oklahoma, registered in NPPES in August 2007. The authorized official on file is Kristina Clammer, Office Manager.
Overview
| NPI | 1477746741 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2007 |
| Last updated in NPPES | Aug 21, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | OK19953 | OK |
| Rehabilitation Practitioner | 225400000X | OK4055 | OK |
| Rehabilitation Practitioner | 225400000X | OK19313 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|