NPIMap

Organization Active NPI

Foundations Therapy, PLLC

Doing business as Foundations Therapy Prague

  • Pediatric Occupational Therapist
  • Prague, OK
National Provider Identifier
1083397848
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
FOUNDATIONS THERAPY, PLLC
Doing business as
Foundations Therapy Prague
Practice address
1515 W Main St
Prague, OK 74864
Phone
(405) 566-3291
Fax
(405) 566-3290
NPI assigned
Aug 9, 2023
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUNDATIONS THERAPY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Idelle Ann MatthewsNPI 1689356511
Title
Office Manager
Phone
(405) 585-2971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1515 W Main St
Prague, OK 74864

Mailing address

3903 N Harrison St
Shawnee, OK 74804-1426
Phone (405) 585-2971

Other identifiers 1

IdentifierTypeStateIssuer
200860730CMedicaidOK

Other names 1

  • Foundations Therapy Prague Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foundations Therapy PLLC4 organizations share this tax ID, including this one
Part of
Foundations Therapy PLLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1083397848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041426",
            "telephone_number": "405-585-2971",
            "fax_number": "405-585-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W MAIN ST",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "74864",
            "telephone_number": "405-566-3291",
            "fax_number": "405-566-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATIONS THERAPY, PLLC",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "IDELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-585-2971"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200860730C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations Therapy Prague",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prague, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.