Individual provider Active NPI

Kylie Paige Broshous

  • Occupational Therapist
  • Sand Springs, OK
National Provider Identifier
1194639740
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
800 E Charles Page Blvd Ste C
Sand Springs, OK 74063-8508
Phone
(918) 504-8669
Fax
(918) 512-4773
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OK Primary

Addresses

Primary practice location

800 E Charles Page Blvd Ste C
Sand Springs, OK 74063-8508

Mailing address

5650 S Zunis Ave
Tulsa, OK 74105-6120
Phone (405) 824-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1194639740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 S ZUNIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056120",
            "telephone_number": "405-824-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHARLES PAGE BLVD STE C",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740638508",
            "telephone_number": "918-504-8669",
            "fax_number": "918-512-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSHOUS",
        "first_name": "KYLIE",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.