Brian Keith Moran, OTA
Individual provider Active NPI Occupational Therapy Assistant · Marlow, OK
NPI 1497378442 · NPPES record last updated May 26, 2020
Key facts
- NPI
- 1497378442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 850 (OK)
- Practice address
- 231 W Main St
Marlow, OK 73055-2439 - Phone
- (580) 721-7100
- NPI assigned
- May 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Rock Health and Wellness LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 850 | OK | Yes |
Addresses
Primary practice location
231 W Main St
Marlow, OK 73055-2439
Mailing address
231 W Main St
Marlow, OK 73055-2439
Phone (580) 721-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTHER | Other | OTHER |
Other providers in Marlow, OK
- Medicine Chest LLC
- Brenda Kay Melton
- Miranda Metcalf
- Miguel Sabedra PLLC
- Shelley Mitchell
- Newberry Express Pharmacy-Clinical Services
- Newberry Express Pharmacy, LLC
- Newberry Express Pharmacy, LLC
- Ernestine Lee Olson
- Heather K Orr
All providers in Marlow, OK · Occupational Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.