Educational Therapy Center

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

366 Issued in OK

Legal business name

EDUCATIONAL THERAPY CENTER

Practice address

708 W Freeport St
Broken Arrow, OK 74012-2405

Phone

(918) 455-3859

Fax

(918) 455-3860

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Anne Alexander, M.A., C.C.C.NPI 1750464871

Title

President

Phone

(918) 455-3859

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Patricia Anne Alexander, MA CCC

  • Speech-Language Pathologist
  • Broken Arrow, OK
  • NPI 1750464871
  NPD (past) Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1427227404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W FREEPORT ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122405",
            "telephone_number": "918-455-3859",
            "fax_number": "918-455-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W FREEPORT ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122405",
            "telephone_number": "918-455-3859",
            "fax_number": "918-455-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-455-3859",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., C.C.C."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Oklahoma Oral Maxillofacial Surgeons
• Christopher Eaton, DDS
• Tami Jo Eberle
• Jason Scot Edgin
• Savannah Noelle Ediger
• Elizabeth Anne Edwards Svetlic, LCSW
• Kimberly Rose Edwards, PT, DPT
• Tiffany Gail Edwards, LMT
• Ashley Efaw, OTR/L
• Larissa Kaye Efird

• Speech-Language Pathologist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.