NICHOLS BRADLEY ALBERTY (NPI# 1891225686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891225686 |
| Entity Type | Individual |
| Full Name | NICHOLS BRADLEY ALBERTY |
| Credential | LICENSED ORTHOTIST |
| Practice Address |
1294 East Downing Suite 3 Tahlequah OK 74464 |
| Mailing Address |
1294 E Downing St Ste 3 Tahlequah OK 74464-3363 |
| Practice Telephone | (918) 431-1945 |
| Practice Fax Number | 9184311974 |
| Mailing Telephone | 9184311945 |
| Mailing Fax Number | 9184311974 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 62 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1294 EAST DOWNING SUITE 3 |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| 1568885499 | Rebekah Leanne Gray | Nurse Practitioner | Tahlequah Family Medicine Clinic, 204 Woodlawn Ave, Tahlequah, OK 74464 | 2014-01-29 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649417395 | Larry Kindle | Orthotist | 1510 E Shawnee Cir, Tahlequah, OK 74464-2528 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144577909 | Nicholas J Chelenza IIi | Orthotist | 1915 W Gore Blvd Ste 1, Lawton, OK 73501-3661 | 2012-08-12 |
| 1285941922 | Blake Evan Barlow | Orthotist | 7510 Broadway Ext Ste 204, Oklahoma City, OK 73116-9031 | 2010-09-01 |
| 1386881035 | Richard L Foster | Orthotist | 125 N Porter Ave, Norman, OK 73071-5834 | 2009-01-16 |
| 1295972941 | Gary Kester | Orthotist | 330 S 5th St Ste 103, Enid, OK 73701-5860 | 2009-01-16 |
| 1841301462 | Daniel Adam Thies | Orthotist | 480 E 141st St Ste E, Glenpool, OK 74033-3550 | 2006-08-31 |
| 1851321475 | Harry Layton | Orthotist | 2724 W Gore Blvd, Lawton, OK 73505-6319 | 2006-07-03 |
| 1861461998 | William Barringer | Orthotist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2006-03-14 |
| 1093274854 | Kayla Carte | Orthotist | 4207 W Memorial Rd, Oklahoma City, OK 73134-1761 | 2019-03-19 |
| 1235613027 | Cmn Enterprises,llc | Orthotist | 2806 N Kickapoo Ave, Shawnee, OK 74804-1798 | 2018-09-18 |
| 1821500570 | Patrick Hing | Orthotist | 4207 W Memorial Rd, Oklahoma City, OK 73134-1761 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
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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.