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Contact Information

HOME MODS BY THERAPISTS, LLC
3424 MOUNT WASHINGTON RD
ARDMORE, OK73401-9311
 Phone: 580-221-3950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HOME MODS BY THERAPISTS, LLC

NPI Number 1326455486
LBN Legal business name HOME MODS BY THERAPISTS, LLC
Authorized official JERI GILL MCKENZIE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2014
Last updated 07/21/2014 - About 12 years ago
Identifiers
OK License # 2242
OK License # 600
OK Medicaid 200006160A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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