Kellie Bailey

Individual provider Active NPI Occupational Therapy Assistant · Madill, OK

NPI 1376411215 · NPPES record last updated Oct 23, 2025

Key facts

NPI
1376411215
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1240 (OK)
Practice address
410 W Lillie Blvd
Madill, OK 73446-1270
Phone
(580) 226-5566
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehab LLC Current
since Nov 7, 2025
Accepting new patients

Locations

1405 4th Ave NW
Ardmore, OK 73401
Phone (580) 226-5566

410 W Lillie Blvd
Madill, OK 73446
Phone (580) 226-5566

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1240 OK Yes

Addresses

Primary practice location

410 W Lillie Blvd
Madill, OK 73446-1270

Mailing address

1405 4TH Ave NW # 296
Ardmore, OK 73401-2708
Phone (580) 226-5566

Other providers in Madill, OK

All providers in Madill, OK · Occupational Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.