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NPI Code Detail

MEDICARE: POST ACUTE MEDICAL REHABILITATION HOSPITAL OF TULSA, LLC

MEDICARE: POST ACUTE MEDICAL REHABILITATION HOSPITAL OF TULSA, LLC
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
1261QR0400XRehabilitation Clinic/Center
2282N00000XGeneral Acute Care Hospital
3283X00000XRehabilitation Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730635301
Entity Type Code : Organization
Provider Name (Legal Business Name) : POST ACUTE MEDICAL REHABILITATION HOSPITAL OF TULSA, LLC
Provider Business Mailing Address
First Line : 1828 GOOD HOPE RD STE 102
Second Line :
City : ENOLA
State : PA
Zip : 17025-1203
Country : US
Telephone Number : 717-731-9660
Fax Number :
Provider Business Practice Location Address
First Line : 10020 E 91ST ST
Second Line :
City : TULSA
State : OK
Zip : 74133-5835
Country : US
Telephone Number : 918-940-8801
Fax Number : 918-940-8802
Authorized Official
Title or Position : PRESIDENT
Name : ANTHONY MISITANO
Credential :
Telephone Number : 717-731-9660
Provider Enumeration Date : 09/01/2016
Last Update Date : 02/16/2026

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