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

Oklahoma Physical Medicine and Rehabilitation, PC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1427279561

Oklahoma Physical Medicine and Rehabilitation, PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Broken Arrow, Oklahoma. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1621 S Eucalyptus Ave Ste 204
Broken Arrow, OK 74012-5940
Phone: (918) 252-7952
Show map & directions

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

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1427279561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Pettingell — Physician · (918) 252-7952
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10026 S Mingo Rd Ste A, Pmb 234, Tulsa, OK 74133-5717

Other providers in Broken Arrow