OrganizationActive
Active Rehab Clinic
NPI 1538702576 · Physical Therapy Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1538702576
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Latoshia Hardison, Ceo(405) 209-0692
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
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
8720 S Pennsylvania Ave Ste B
Oklahoma City, OK 73159-5237
Phone: (405) 209-0692
Street-level locationGet directions
Mailing address
6929 S Sooner Rd Apt 43101
Oklahoma City, OK 73135-2739
Registry dates
- Enumerated
- 2019-10-22
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.