Allison Kate Modglin

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1215 S Boulder Ave
Tulsa, OK 74119-2842

Phone

(918) 631-2619

NPI assigned

Aug 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• University of Tulsa

  • Student in an Organized Health Care Education/Training Program
  • Tulsa, OK
  • NPI 1225418395
  NPD

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1396412128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14409 S 52ND EAST AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084036",
            "telephone_number": "918-740-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S BOULDER AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741192842",
            "telephone_number": "918-631-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODGLIN",
        "first_name": "ALLISON",
        "middle_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Mobra
• Jack J Mocnik, M.D.
• Kyndal Rae Moctezuma, RN
• Megan J Moddelmog, MSPT
• Richard Young Modenbach, LCSW
• Jay Modi
• Modify, PLLC
• Kristen Dawn Moeller
• Roxann Renee Moeller, LCSW
• Sareesa Moeller

• Athletic Trainer in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.