MS. KEATON LEEANN MADDOUX


Address: 3027 S New Haven Ave, Tulsa, OK 74114-6131
Phone: 9187467500

MS. KEATON LEEANN MADDOUX (NPI# 1275180614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275180614
Entity Type Individual
Full Name MS. KEATON LEEANN MADDOUX
Credential OTR
Practice Address 3027 S New Haven Ave
Tulsa
OK 74114-6131
Practice Telephone 9187467500
Mailing Telephone 9187467500
Enumeration Date 2019-08-21
Last Update Date 2019-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 5355 OK Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK OCCUPATIONAL THERAPY 5355 01

Office Location

Street Address 3027 S NEW HAVEN AVE
City TULSA
State OK
Zip Code 74114-6131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154313948 Independent School District Number 1 of Tulsa County, Oklahoma Public Health or Welfare 3027 S New Haven Ave, Tulsa, OK 74114-6131 2005-08-17
1851948566 Hayley Rose Peterson Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2019-08-19
1972076214 Tiffany M Henley Occupational Therapist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2019-01-09
1902345358 Terri Stafford Occupational Therapist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2017-02-17
1386181295 Rosemary Mulkins Psychologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2017-01-30
1376093393 Constance Townsend Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-10-13
1609324649 Theresa Guillory Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-09-20
1205384674 Stephanie Shumaker Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-09-14
1699222869 Sarah Freeman Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-09-06
1073068086 Holly Marie Soho Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-08-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356865307 Helen Marie Collier Registered Nurse 2325 S. Harvard Avenue, Tulsa, OK 74114 2017-08-01
1730635640 Portia Resnick Specialist/Technologist 5707 E 24th Pl, Tulsa, OK 74114 2016-08-31
1093177925 Ana Achlosser Counselor 2120 S Jamestown Ave, Tulsa, OK 74114 2016-03-21
1437558277 Nicole Holzkamper Case Manager/Care Coordinator 2525 S Harvard Ave, Tulsa, OK 74114 2014-08-18
1619216272 Nicole Lisette Mancinelli Physician Assistant 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 2013-02-01
1598001414 Zachary Paschall Counselor 2325 S Havard Ave, Tulsa, OK 74114 2012-12-20
1346511334 Chelsea Lee Joslin Counselor 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 2012-01-23
1073893210 Elizabeth C Canfield Speech-Language Pathologist 1929 South 74th East Avenue, Tulsa, OK 74114 2011-08-19
1508185430 Karly Lynn Mason Social Worker 2140 S. Harvard, Tulsa, OK 74114 2010-05-17
1790922185 State of Oklahoma Community Based Residential Treatment Facility, Mental Illness 2323 South Harvard, Tulsa, OK 74114 2009-01-07
Find all providers in zip 74114

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164086260 Taylor Lingle Occupational Therapist 3701 N Mlk Jr Blvd, Tulsa, OK 74106-6450 2019-04-24
1629547286 Kealey Jordan Oliver Occupational Therapist 3223 E. 31st Steet, Tulsa, OK 74105 2018-11-13
1376019349 Linda Alchami Occupational Therapist 5616 S 89th East Ave, Tulsa, OK 74145-7949 2018-10-17
1467930271 Ashley Nichole Parks Occupational Therapist 6130 E 32nd St Ste 121, Tulsa, OK 74135-5454 2018-08-02
1407363666 Alison Kara Benson Occupational Therapist 6316 E 102nd St Ste 210, Tulsa, OK 74137-7061 2018-01-09
1720430911 Jacalyn Marie Hafner Occupational Therapist 5110 S. Yale Ave, Ste. 102, Tulsa, OK 74135 2016-07-12
1104277391 Mackenzie Lynn Komrij Occupational Therapist 2838 E 101st St, Tulsa, OK 74137-5601 2016-06-29
1710331608 Shannon Tubb Occupational Therapist 2692 N Wild Mountain Rd, Tulsa, OK 74127-1100 2016-04-18
1013387703 Talitha Gloria Glosemeyer Occupational Therapist 6127 S Joplin Ave, Tulsa, OK 74136-2107 2015-10-07
1326425992 Christopher Tirello Occupational Therapist 7210 S Yale Ave, Tulsa, OK 74136-6319 2015-05-02
Find all providers in TULSA

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City TULSA
Zip Code 74114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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