CATHERINE AGNES BRACKS (NPI# 1386788651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386788651 |
Entity Type | Individual |
Full Name | CATHERINE AGNES BRACKS |
Other Name | CATHERINE AGNES GREENOCK |
Credential | OT |
Practice Address |
2488 E 81st St Ste 290 Tulsa OK 74137-4265 |
Practice Telephone | 9184942665 |
Practice Fax Number | 9189273201 |
Mailing Telephone | 9189273737 |
Mailing Fax Number | 9189273193 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2020-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT3672 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
2017 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 0446652 | 05 | |
TN | GROUP NUMBER | 3156797 | 01 |
OK | 200762650A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5022 Old Godsey Ln, Suite 3, Hixson, TN 373436600 | 4238703573 | 4238703574 |
4808 S 109th East Ave Ste 100, Tulsa, OK 74146 | 9183921482 | 9183927063 |
6585 S Yale Ave Ste 310, Tulsa, OK 741368334 | 9185024700 | 9185024701 |
Street Address |
2488 E 81ST ST STE 290 |
City | TULSA |
State | OK |
Zip Code | 74137-4265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679573844 | Bradford L Boone | Orthopaedic Surgery | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2005-07-28 |
1285241034 | Heather A Beloncik | Physical Therapy Assistant | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2020-09-25 |
1033756804 | Ladamian Kawon Wilson | Physical Therapist | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2019-11-29 |
1174022008 | Ryan Michael Carter | Specialist/Technologist | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2018-02-06 |
1851811137 | Taylor Caldwell | Physical Therapy Assistant | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2017-06-27 |
1558890681 | Talor Dee Fulps | Physical Therapist | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2017-06-12 |
1285171157 | Kayla R Clark | Specialist/Technologist | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2017-01-30 |
1235676453 | Advanced Orthopedics of Oklahoma Pllc | Orthopaedic Surgery | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2017-01-25 |
1447636550 | Tony Morakot | Physical Therapist | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2015-07-31 |
1942632062 | Meagan Elizabeth Deshane | Specialist/Technologist | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2013-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
Find all providers in zip 74137 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437117066 | Kevin William Herauf | Occupational Therapist | 1310 E 15th St, Tulsa, OK 74120 | 2006-05-03 |
1255399887 | Joyce Green-halford | Occupational Therapist | 1301 E 15th Street, Tulsa, OK 74120 | 2006-05-03 |
1861759938 | Molly Cook | Occupational Therapist | 4808 S 109th East Ave Ste 100, Tulsa, OK 74146 | 2012-04-13 |
1639367766 | Bryce Allen Eslinger | Occupational Therapist | 1310 E 15th St, Tulsa, OK 74120-5804 | 2007-10-15 |
1093860967 | Larry Alan Johnson | Occupational Therapist | 8421 E 61st St, Suite P, Tulsa, OK 74133-1924 | 2007-01-23 |
1083773980 | Melanie Ann Trook | Occupational Therapist | 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 | 2006-12-06 |
1588773329 | Jean Michelle Pryor | Occupational Therapist | 4004 S Yale Ave, Tulsa, OK 74135-6017 | 2006-08-29 |
1386644805 | Suzanne Mary Marolf | Occupational Therapist | 4157 S Harvard Ave, Suite 117, Tulsa, OK 74135-2631 | 2005-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831456771 | Andrew Bussman | Occupational Therapist | 524 W Iola St, Broken Arrow, OK 74012-2564 | 2012-04-17 |
1811205594 | Leslie R Goodson | Occupational Therapist | 351 N Air Depot Blvd, Ste X, Midwest City, OK 73110-1700 | 2010-09-16 |
1689994519 | Leilani Maria Kalies | Occupational Therapist | 6201 N Santa Fe Ave, Oklahoma City, OK 73118-7538 | 2010-06-02 |
1104092402 | Beth A Wood | Occupational Therapist | 1407 N Whisenant Dr, Duncan Regional Hospital, Duncan, OK 73533-1650 | 2008-05-06 |
1720261647 | Kiera R Proud | Occupational Therapist | 3327 Nw 50th St, Oklahoma City, OK 73112-5627 | 2007-12-13 |
1215156195 | Kelly Shannon Brunsteter Misuraca | Occupational Therapist | 5300 N Independence Ave Ste 100, Oklahoma City, OK 73112-5550 | 2007-04-25 |
1801809496 | Kay E Neldon | Occupational Therapist | 10229 E 96th St N, Owasso, OK 74055-5305 | 2006-08-14 |
1669403598 | Himanshu S Samantaray | Occupational Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-07-06 |
1710934351 | Carrie C Baer | Occupational Therapist | 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 | 2006-05-28 |
1669432506 | Leslie A Schroeder | Occupational Therapist | 10001 S Western Ave, 204, Oklahoma City, OK 73139-2997 | 2006-03-24 |
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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.