Kellee Marie Moore

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3117 Issued in OK

Practice address

118 E Broadway Ave
Thomas, OK 73669-8321

Phone

(580) 661-3517

Fax

(580) 661-3528

NPI assigned

Dec 15, 2023

Last updated

Dec 15, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Therapy Connection PLLC

  • Physical Therapy Clinic/Center
  • Thomas, OK
  • NPI 1851814834
  NPD

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1598533804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E BROADWAY AVE",
            "city": "THOMAS",
            "state": "OK",
            "postal_code": "736698321",
            "telephone_number": "580-661-3517",
            "fax_number": "580-661-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E BROADWAY AVE",
            "city": "THOMAS",
            "state": "OK",
            "postal_code": "736698321",
            "telephone_number": "580-661-3517",
            "fax_number": "580-661-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLEE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.ktconnection.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "118 E Broadway Ave",
            "city": "Thomas",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736698321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Camille Littlefield
• Allena Lacee Lonebear
• Shannon Jonathan Marcar, BS
• Luzviminda Ann McKinsey
• Julie Ann Moore
• Myriad Counseling Solutions, LLC
• Emma Katherine Niblett, DPT
• Taya Lin Page, M.ED.
• Darla Jean Perry, M.ED., LPC
• Mary Kathryn Ann Pierce

• Physical Therapy Assistant in Thomas, OK
• Providers in Thomas, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.