Individual provider Active NPI

Katie Elizabeth Branum

  • Occupational Therapist
  • Shawnee, OK
National Provider Identifier
1417823998
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6171 Issued in OK
Practice address
4651 N Harrison St
Shawnee, OK 74804-1440
Phone
(405) 395-3830
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6171 OK Primary

Addresses

Primary practice location

4651 N Harrison St
Shawnee, OK 74804-1440

Mailing address

706 S 7TH St
Kingfisher, OK 73750-3518
Phone (405) 401-3284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125001674 OK Practitioner - Occupational Therapist in Private Practice 0345732525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

777 NW 63Rd St
Oklahoma City, OK 73116-7601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6171OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Oct 20, 2025 Accepting new patients
Saints Medical Group, LLC CurrentSince Oct 20, 2025 Accepting new patients

Locations

201 S Sara Rd
Ste 200
Mustang, OK 73064
Phone (405) 578-3250

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

4651 N Harrison St
Shawnee, OK 74804
Phone (405) 214-5100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1417823998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S 7TH ST",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737503518",
            "telephone_number": "405-401-3284",
            "fax_number": "405-401-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041440",
            "telephone_number": "405-395-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANUM",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "6171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.