Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeastern Physical Rehab

Organization Physical Therapy Clinic/Center · NPI 1275802639

Northeastern Physical Rehab is a Physical Therapy Clinic/Center in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011

Practice location Address checks out

2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795
Phone: (918) 458-5115
Fax: (918) 458-5119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 2083 (OK)

Record details

NPI number1275802639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Scott — Physical Therapist · (918) 458-5115
NPI enumeratedDecember 14, 2011
Last updated in NPPESDecember 14, 2011
Mailing address2021 Mahaney Ave Ste 6, Tahlequah, OK 74464-5795