Mary B Pickett, PT,MS,PCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

778 Issued in OK

Practice address

11309 Shady Glen Rd
Oklahoma City, OK 73162-3435

Phone

(405) 323-6003

NPI assigned

May 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Tulsa, OK
  • NPI 1598332173

  Pediatrics

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1487972469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11309 SHADY GLEN RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731623435",
            "telephone_number": "405-323-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11309 SHADY GLEN RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731623435",
            "telephone_number": "405-323-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "MARY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PT,MS,PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OK",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Carlene Pickens
• Melanie Ryan Pickering, CM II
• Chris Pickett
• Emily Pickett
• Joshua Pickett
• Sharon Kaye Pickett, M.ED,LPC
• Lori Lynn Pickrell, MD
• Michael B Pickrell, MD
• Rachael J Picon, LCSW
• Piedmont Therapy Institute

• Pediatric Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.