EAGLE SPORTS MEDICINE NPI 1942624135

NPI Information

  • NPI: 1942624135
  • Provider Name: EAGLE SPORTS MEDICINE
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 2501 E MEMORIAL RD
    EDMOND, OK
    ZIP 73013
  • Phone: (405) 425-1960

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NPI Details

EAGLE SPORTS MEDICINE is a rehabilitation clinic center in Edmond, OK. EAGLE SPORTS MEDICINE NPI is 1942624135. The provider is registered as an organization entity type.

The provider's business location address is:

2501 E MEMORIAL RD
EDMOND, OK
ZIP 73013-525
Phone: (405) 425-1960
Fax: (405) 425-1962

The provider's authorized official is Michelle Lea Krause .
The authorized official title is Rehabilitation Coordinator and has the following contact phone number (580) 272-4978.

The enumeration date for this NPI number is 2/10/2014 and was last updated on 10/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitation2813OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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