Organization · Type 2 NPI

NR Midwest City LLC

Physical Medicine & Rehabilitation Physician · Midwest City, OK

NPI number 1558063784 Active

Practice location

8121 National Ave Ste 105
Midwest City, OK 73110-7570

Call (405) 694-4042 Map

Mailing address

3705 NW 63rd St Ste 200
Oklahoma City, OK 73116-1937

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Physical Medicine & Rehabilitation Physician Primary	208100000X	None listed

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

NPI record

NPI: 1558063784
Entity type: Organization (Type 2)
Issued: Mar 21, 2023
Last updated: Aug 13, 2026
Status: Active

Other names

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Nerve Renewal Midwest City · doing business as
Nerve Renewal Midwest City · doing business as

Authorized official

Timothy Coit Bales, CEO
CEO
(405) 953-7221

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1558063784

NR Midwest City LLC's National Provider Identifier is 1558063784, issued on Mar 21, 2023. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Midwest City, OK. The record was last updated on Aug 13, 2026.