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

Southeastern Oklahoma Sports Medicine, PLLC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1124345665

Southeastern Oklahoma Sports Medicine, PLLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Durant, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1705 N Washington Ave Ste C
Durant, OK 74701-2100
Phone: (580) 924-1414
Fax: (580) 931-0300
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 24887 (OK)

Record details

NPI number1124345665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Rich — President · (580) 924-1414
NPI enumeratedApril 23, 2010
Last updated in NPPESApril 23, 2010
Mailing address1705 N Washington Ave, Suite C, Durant, OK 74701-2100