OrganizationActive
Eagle Sports Medicine
NPI 1942624135 · Rehabilitation Clinic/Center · Edmond, OK
Provider details
- NPI number
- 1942624135
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Krause, Rehabilitation Coordinator(580) 272-4978
- License
- 2813 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2501 E Memorial Rd
Edmond, OK 73013-5525
Phone: (405) 425-1960
Fax: (405) 425-1962
Street-level locationGet directions
Mailing address
2501 E Memorial Rd
Edmond, OK 73013-5525
Registry dates
- Enumerated
- 2014-02-10
- Last updated
- 2016-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.