Mary Branch, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

815 NW 12TH St
Oklahoma City, OK 73106-6802

Phone

(405) 231-5800

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Gillespie Former name

Electronic endpoints 1

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1366027310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MERCHANT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696470",
            "telephone_number": "405-809-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW 12TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066802",
            "telephone_number": "405-231-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "MARY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "2892",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norman",
            "affiliation": "N",
            "address_1": "815 NW 12th St",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731066802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GILLESPIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeannie Bramblett, PTA
• A'Ndria Branch
• Chadwick Branch, O.D.
• Courtney Gayle Branch, PHARM.D
• Linda Diann Branch
• Barbara Jean Brand, CRNA
• Herbert Patrick Brand III, L.P.C.
• James L Brand, MD
• Michael W Brand, LCSW PHD
• Brandi Kammerer PLLC

• Physical Therapy Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.