Provider Demographics
NPI:1154609220
Name:APEX FITNESS & REHABILITATION
Entity type:Organization
Organization Name:APEX FITNESS & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENROYD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-420-3079
Mailing Address - Street 1:1101 SILVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73025-2005
Mailing Address - Country:US
Mailing Address - Phone:405-420-3079
Mailing Address - Fax:
Practice Address - Street 1:4701 MILLSTONE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73179-2816
Practice Address - Country:US
Practice Address - Phone:405-420-3079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-23
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4090225100000X
OK3909225100000X
OK4089225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty