NPIMap

Organization Active NPI

Kerry McClure, LLC

Doing business as Discover Pediatric Therapy

  • Pediatric Occupational Therapist
  • Poteau, OK
National Provider Identifier
1154732915
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
KERRY MCCLURE, LLC
Doing business as
Discover Pediatric Therapy
Practice address
2300 N Broadway St
Poteau, OK 74953-2009
Phone
(918) 962-0198
Fax
(844) 632-7298
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Kerry Michelle McClure, OT
Title
Occupational Therapist / Owner
Phone
(479) 629-5234

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X OK
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OTR2195 AR
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OK Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X OK

Addresses

Primary practice location

2300 N Broadway St
Poteau, OK 74953-2009

Mailing address

2300 N Broadway St
Poteau, OK 74953-2009
Phone (918) 962-0198

Other names 1

  • Discover Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2300 N Broadway St
Poteau, OK 74953
Phone (918) 962-0198

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1154732915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532009",
            "telephone_number": "918-962-0198",
            "fax_number": "844-632-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532009",
            "telephone_number": "918-962-0198",
            "fax_number": "844-632-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY MCCLURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "479-629-5234",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR2195",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discover Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.