Organization Active NPI

Select Therapy Source

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1306244942
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4076 Issued in OK
Legal business name
SELECT THERAPY SOURCE
Practice address
1625 Greenbriar PL
Suite 200
Oklahoma City, OK 73159-7645
Phone
(405) 735-5732
Fax
(405) 735-9159
NPI assigned
Dec 14, 2014
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Amy McAdams, M.S. CCC-SLPNPI 1750710067
Title
Speech-Language Pathologist
Phone
(405) 627-0390

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 4076 OK Primary

Addresses

Primary practice location

1625 Greenbriar PL
Suite 200
Oklahoma City, OK 73159-7645

Mailing address

16309 Iron Fire CT
Edmond, OK 73013-5799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1418515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1306244942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16309 IRON FIRE CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 GREENBRIAR PL",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597645",
            "telephone_number": "405-735-5732",
            "fax_number": "405-735-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT THERAPY SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-14",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "405-627-0390",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.