MEDICARE: MRS. MEGAN RENEE RAINES ATC, LPTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2005	OK
2	2255A2300X	Athletic Trainer
3	225100000X	Physical Therapist	2005	OK

General Provider Information

NPI Number	:	1982947644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN RENEE RAINES ATC, LPTA

Provider Business Mailing Address
First Line	:	801 CR 1560
Second Line	:
City	:	RUSH SPRINGS
State	:	OK
Zip	:	73082
Country	:	US
Telephone Number	:	580-641-0030
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 CR 1560
Second Line	:
City	:	RUSH SPRINGS
State	:	OK
Zip	:	73082
Country	:	US
Telephone Number	:	580-641-0030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2013
Last Update Date	:	05/11/2021

Similar Medicare Providers

1316923709 — RUSH SPRINGS EMS
Practice Location Address:

201 W BLAKELY
RUSH SPRINGS, OK
73082

Practice Phone: 580-476-3438
Practice Fax:

1427091826 — MR. RONALD WAYNE SECOY PA-C
Practice Location Address:

113 S RUSH STREET
RUSH SPRINGS, OK
73082-0277

Practice Phone: 580-476-2527
Practice Fax: 580-476-3707

1578592788 — GRADY MEMORIAL HOSPITAL
Practice Location Address:

113 SOUTH RUSH AVE
RUSH SPRINGS, OK
73082-0277

Practice Phone: 580-476-2527
Practice Fax: 580-476-3707

1083003750 — MONICA MINDEMANN
Practice Location Address:

4134 COUNTY STREET 2760
RUSH SPRINGS, OK
73082-3069

Practice Phone: 580-476-3332
Practice Fax:

1548978547 — ABIGAIL BALLARD MA, CCC-SLP
Practice Location Address:

3677 OLD HIGHWAY 81
RUSH SPRINGS, OK
73082-2459

Practice Phone: 580-251-0984
Practice Fax:

1891497608 — MR. DAN BOB MYERS LPC
Practice Location Address:

4471 COUNTY STREET 2839
RUSH SPRINGS, OK
73082-3099

Practice Phone: 580-656-7848
Practice Fax:

Directions to “ MRS. MEGAN RENEE RAINES ATC, LPTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.