Brandi Janae Radtke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2209 E Sooner Rd
Blanchard, OK 73010-6634

Phone

(405) 387-4880

NPI assigned

Jun 20, 2022

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1245961408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 E SOONER RD",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730106634",
            "telephone_number": "405-387-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 E SOONER RD",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730106634",
            "telephone_number": "405-387-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADTKE",
        "first_name": "BRANDI",
        "middle_name": "JANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Plott
• Skye Whitney Powers
• Provision Home Care, LLC
• PTMS 3.0, LLC (Physical Therapy Central of Blanchard)
• Kimberly Puckett-Samsel
• Devin Ramsden, DMD
• Jennifer Reese, LMSW
• Relentless Ranch Inc
• Rice Family Vision PLLC
• Amy Rollin

• Speech-Language Pathologist in Blanchard, OK
• Providers in Blanchard, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.