MRS. MARY B PICKETT (NPI# 1487972469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487972469 |
| Entity Type | Individual |
| Full Name | MRS. MARY B PICKETT |
| Credential | PT,MS,PCS |
| Practice Address |
11309 Shady Glen Rd Oklahoma City OK 73162-3435 |
| Practice Telephone | 4053236003 |
| Mailing Telephone | 4053236003 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
778 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902813835 | Mary Ellis Pickett | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-02 |
| Street Address |
11309 SHADY GLEN RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73162-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493319 | Anthony Haislip | Peer Specialist | 6904 Briar Creek Dr., Oklahoma City, OK 73162 | 2018-10-16 |
| 1760973705 | Lars Pederson | Peer Specialist | 7308 Nw 114th St, Oklahoma City, OK 73162 | 2018-05-25 |
| 1770026841 | Cory Chambers | Dentist | 12321 N. Council Rd, Oklahoma City, OK 73162 | 2016-11-22 |
| 1487109062 | K. Williams | Case Manager/Care Coordinator | 10400 North Council Road, Oklahoma City, OK 73162 | 2016-08-24 |
| 1932537669 | Al Dowell | Case Manager/Care Coordinator | 8849 Nw 121st St., Oklahoma City, OK 73162 | 2013-10-15 |
| 1508106378 | Wilvia Wong-plum | Counselor | 7309 N.w. 107th St., Oklahoma City, OK 73162 | 2013-02-15 |
| 1386912301 | Delores Parker | Counselor | 11916 Silvermoon Drive, Oklahoma City, OK 73162 | 2011-12-05 |
| 1518241744 | Victor Njoh | Pharmacist | 7101 West Hefner Rd, Oklahoma City, OK 73162 | 2011-10-06 |
| 1841500113 | Kimmi Jo Stanley | Speech-Language Pathologist | 9400 St. Ann's Home, Oklahoma City, OK 73162 | 2010-10-20 |
| 1548493091 | Glen Knight Wallace | Counselor | 7932 Nicholson, Okalhoma City, OK 73162 | 2009-09-01 |
| Find all providers in zip 73162 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871878868 | Beverly K. Fentress | Physical Therapist | 6112 Winchester Dr, Oklahoma City, OK 73162-1719 | 2011-10-21 |
| 1578772414 | Barbara Lynn Fogarty Peters | Physical Therapist | 9031 Sw 29th St, Oklahoma City, OK 73179-2818 | 2007-05-21 |
| 1295940203 | Audrey Lynn Fluitt | Physical Therapist | 5300 N Independence Ave, Ste 100, Oklahoma City, OK 73112-5556 | 2007-05-12 |
| 1972645836 | Joanne R Walkup | Physical Therapist | 1024 Nw 47th St, Oklahoma City, OK 73118-6400 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630793 | Achieve Pediatric Physical Therapy | Physical Therapist | 2265 S Saint Louis Ave, Tulsa, OK 74114-1347 | 2020-08-17 |
| 1962029967 | Pediatric Physical Therapy of Bartlesville | Physical Therapist | 548 Se Washington Blvd, Bartlesville, OK 74006-8231 | 2020-06-25 |
| 1033754882 | Heather Williams | Physical Therapist | 117 W 5th St Ste 1, Bartlesville, OK 74003-6651 | 2019-11-14 |
| 1699179077 | Elizabeth Smith | Physical Therapist | 7686 Stone Valley Cir, Edmond, OK 73034-9564 | 2014-10-14 |
| 1154732915 | Kerry Mcclure, LLC | Physical Therapist | 2300 N Broadway St, Poteau, OK 74953-2009 | 2014-05-14 |
| 1427301852 | Guymon Public Schools | Physical Therapist | 801 N Beaver St, Guymon, OK 73942-3722 | 2012-10-23 |
| 1730373556 | Amanda Scott Caperton | Physical Therapist | 5505 E 107th St, Tulsa, OK 74137-7291 | 2007-09-05 |
| 1750589081 | Shanna Rae Gray | Physical Therapist | 4010 Blaine Rd, Shawnee, OK 74804-1626 | 2007-07-09 |
| 1598962748 | Carla Dee Garling | Physical Therapist | 6295 E Robinson St, Norman, OK 73026-3523 | 2007-06-29 |
| 1154538445 | Gary R Robinson | Physical Therapist | One Murray Campus, Nah #108, Tishomingo, OK 73460-0391 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73162 |
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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.