NPIMap

Organization Active NPI

Dysphagia Specialists, PLLC

Doing business as Therapy Specialists

  • Speech-Language Pathologist
  • Stillwater, OK
National Provider Identifier
1356746184
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DYSPHAGIA SPECIALISTS, PLLC
Doing business as
Therapy Specialists
Practice address
301 S Duck St
Stillwater, OK 74074-3249
Phone
(405) 377-8255
Fax
(405) 835-3920
NPI assigned
Oct 22, 2014
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Kathryn K Egnor, SLPNPI 1821330036
Title
Owner
Phone
(405) 612-9011

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

301 S Duck St
Stillwater, OK 74074-3249

Mailing address

301 S Duck St
Stillwater, OK 74074-3249
Phone (405) 377-8255

Other names 1

  • Therapy Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141121001176 OK Part B Supplier - Clinic/Group Practice 0042432338 Receives reassigned benefits from 7 practitioners
Practice locations: Stillwater, OK

National Provider Directory

National Provider Directory

Locations

301 S Duck St
Stillwater, OK 74074
Phone (405) 377-8255

301 S Duck St
Ste 1
Stillwater, OK 74074
Phone (405) 377-8255

811 E Virginia Ave
Stillwater, OK 74075
Phone (405) 377-8255

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1356746184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S DUCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743249",
            "telephone_number": "405-377-8255",
            "fax_number": "405-835-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S DUCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743249",
            "telephone_number": "405-377-8255",
            "fax_number": "405-835-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSPHAGIA SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "EGNOR",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-612-9011",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.