KELLY B. TODD CEREBRAL PALSY & NEUROMUSCULAR FOUNDATION, INC (NPI# 1548370711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548370711 |
| Entity Type | Organization |
| Organization Name | KELLY B. TODD CEREBRAL PALSY & NEUROMUSCULAR FOUNDATION, INC |
| Practice Address |
1111 N 36th St Muskogee OK 74401-1809 |
| Mailing Address |
Po Box 2643 Muskogee OK 74402-2643 |
| Practice Telephone | 9186834621 |
| Practice Fax Number | 9186834002 |
| Mailing Telephone | 9186834621 |
| Mailing Fax Number | 9186834002 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | SHARON RIGGS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9186834621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100724240A | 05 |
| Street Address |
1111 N 36TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013027275 | Patricia Pack | Physical Medicine & Rehabilitation | 1111 N 36th St, Muskogee, OK 74401-1809 | 2006-08-30 |
| 1801228424 | Catherine W Ross | Speech-Language Pathologist | 1111 N 36th St, Muskogee, OK 74401-1809 | 2013-08-06 |
| 1285744508 | Meagan Scott | Physical Medicine & Rehabilitation | 1111 N 36th St, Muskogee, OK 74401-1809 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033509559 | Access2healthcare Solutions | Clinic/Center | 340 S 33rd St, Muskogee, OK 74401-5036 | 2015-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347682 | Bc Behavioral | Clinic/Center | 3517 Nw 164th Ter, Edmond, OK 73013-9471 | 2020-05-07 |
| 1346334398 | Oklahoma Assistive Technology Center | Clinic/Center | 1600 N Phillips Ave, Oklahoma City, OK 73104-4619 | 2006-10-03 |
Please comment or provide details below to improve the information on KELLY B. TODD CEREBRAL PALSY & NEUROMUSCULAR FOUNDATION, INC.
| 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.