Home Mods by Therapists, LLC

Primary specialty

Environmental Modification Occupational TherapistTaxonomy code 225XE0001X

License

600 Issued in OK

Legal business name

HOME MODS BY THERAPISTS, LLC

Practice address

3424 Mount Washington Rd
Ardmore, OK 73401-9311

Phone

(580) 221-3950

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Jeri Gill McKenzie, RPT

Title

Owner

Phone

(580) 221-3950

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1326455486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 MOUNT WASHINGTON RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734019311",
            "telephone_number": "580-221-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 MOUNT WASHINGTON RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734019311",
            "telephone_number": "580-221-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MODS BY THERAPISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "GILL MCKENZIE",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-221-3950",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OK",
            "license": "2242",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "OK",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.