Organization Active NPI

Speech Therapy Center for Children

  • Speech-Language Pathologist
  • Poteau, OK
National Provider Identifier
1215019344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
636 Issued in OK
Legal business name
SPEECH THERAPY CENTER FOR CHILDREN
Practice address
1930 N Broadway St
Poteau, OK 74953-2638
Phone
(918) 649-0338
Fax
(918) 649-0331
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia A. Pickle, M.S., CCC-SLPNPI 1720156573
Title
Speech-Language Pathologist
Phone
(918) 649-0338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 636 OK Primary

Addresses

Primary practice location

1930 N Broadway St
Poteau, OK 74953-2638

Mailing address

1930 N Broadway St
Poteau, OK 74953-2638
Phone (918) 649-0338

National Provider Directory

National Provider Directory

Locations

1930 N Broadway St
Poteau, OK 74953
Phone (918) 649-0338

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215019344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532638",
            "telephone_number": "918-649-0338",
            "fax_number": "918-649-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532638",
            "telephone_number": "918-649-0338",
            "fax_number": "918-649-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY CENTER FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "918-649-0338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.