Kellee Marie Moore
Individual provider Active NPI Physical Therapy Assistant · Thomas, OK
NPI 1598533804 · NPPES record last updated Dec 15, 2023
Key facts
- NPI
- 1598533804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3117 (OK)
- Practice address
- 118 E Broadway Ave
Thomas, OK 73669-8321 - Phone
- (580) 661-3517
- Fax
- (580) 661-3528
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- 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 |
|---|---|---|---|
| Kids Therapy Connection PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3117 | OK | Yes |
Addresses
Primary practice location
118 E Broadway Ave
Thomas, OK 73669-8321
Mailing address
118 E Broadway Ave
Thomas, OK 73669-8321
Phone (580) 661-3517
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.ktconnection.com | Direct |
Other providers in Thomas, OK
- Sarah Camille Littlefield
- Allena Lacee Lonebear
- Shannon Jonathan Marcar
- Luzviminda Ann McKinsey
- Julie Ann Moore
- Myriad Counseling Solutions, LLC
- Emma Katherine Niblett
- Taya Lin Page
- Darla Jean Perry
- Mary Kathryn Ann Pierce
All providers in Thomas, OK · Physical 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 Dec 15, 2023. 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.