OrganizationActive
Northeastern Physical Rehab
NPI 1275802639 · Physical Therapy Clinic/Center · Tahlequah, OK
Provider details
- NPI number
- 1275802639
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carl Scott, Physical Therapist(918) 458-5115
- License
- 2083 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795
Phone: (918) 458-5115
Fax: (918) 458-5119
Approximate (ZIP-level) locationGet directions
Mailing address
2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795
Registry dates
- Enumerated
- 2011-12-14
- Last updated
- 2011-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.