Ignite Medical Resort Okc, LLC
NPI 1316577679 · Skilled Nursing Facility · Oklahoma City, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ignite Medical Resort Okc, LLC is a Skilled Nursing Facility organization in Oklahoma City, OK (NPI 1316577679).
Provider details
- NPI number
- 1316577679
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jaret Glazer, Attorney(847) 324-7993
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-01-24
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Frequently asked questions
- What is Ignite Medical Resort Okc, LLC's NPI number?
- Ignite Medical Resort Okc, LLC's National Provider Identifier (NPI) is 1316577679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ignite Medical Resort Okc, LLC?
- Ignite Medical Resort Okc, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ignite Medical Resort Okc, LLC located?
- Ignite Medical Resort Okc, LLC's practice location on file with NPPES is 6312 N Portland Ave, Oklahoma City, OK 73112-1463.
- What is Ignite Medical Resort Okc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ignite Medical Resort Okc, LLC is (405) 946-6932.
- Does Ignite Medical Resort Okc, LLC accept Medicare?
- Ignite Medical Resort Okc, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ignite Medical Resort Okc, LLC?
- The authorized official listed on Ignite Medical Resort Okc, LLC's NPPES record is Jaret Glazer, Attorney. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ignite Medical Resort Okc, LLC's NPI active?
- Yes — Ignite Medical Resort Okc, LLC's NPI (1316577679) is active in the NPPES registry as of the last update on 2020-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.