Micah Anderson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11334 Issued in FL

Practice address

3312 S Peoria Ave
Tulsa, OK 74105-2029

Phone

(918) 400-0089

NPI assigned

Jun 21, 2023

Last updated

Sep 23, 2026By 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

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.

• Einstein Therapy Center, Inc.

  dba Fundamental Therapy Solutions of Oklahoma

  • Occupational Therapist
  • Tulsa, OK
  • NPI 1578327029

  Speech-Language Pathologist

  NPD (past)
• Einstein Therapy Center, Inc.

  dba Fundamental Therapy Solutions

  • Speech-Language Pathologist
  • Gainesville, FL
  • NPI 1114068822
  NPD (past)
• Magnolia Rehab Services

  dba Magnolia Pediatric Therapy

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
  • NPI 1235457052
  NPD (past)
• Magnolia Rehab Services

  dba Magnolia Pediatric Therapy

  • Speech-Language Pathologist
  • Crestview, FL
  • NPI 1790347896
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1982389367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CROSSWINDS LNDG",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471174",
            "telephone_number": "850-226-8279",
            "fax_number": "850-226-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052029",
            "telephone_number": "918-400-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Alice Anderson
• Markus Anderson
• Mary Anderson, PHARMD
• Mataeo John Anderson
• Melynda Anderson
• Michael Peyton Anderson
• Michelle Anderson, LPCC
• Misty Dawn Anderson, NP
• Mitchell Ray Anderson, O.D.
• Morgan Anderson

• Speech-Language Pathologist in Tulsa, OK
• Providers in Tulsa, 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 Sep 23, 2026; 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.