| Kelsey Rutherford, OTR/L | |
|
2221 W Detroit St, Broken Arrow, OK 74012-3628 | |
| (918) 615-6492 | |
| Not Available |
| Full Name | Kelsey Rutherford |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2221 W Detroit St, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275909616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1977 (Oklahoma) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083123624 PECOS PAC ID: 6507832573 Enrollment ID: O20171116000310 |
| Provider Name | Summit Care, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033441027 PECOS PAC ID: 7315073954 Enrollment ID: O20200326000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Rutherford, OTR/L 4716 E 2nd St, Tulsa, OK 74112-1316 Ph: () - | Kelsey Rutherford, OTR/L 2221 W Detroit St, Broken Arrow, OK 74012-3628 Ph: (918) 615-6492 |
Mr. Minh The Huynh, OTL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-451-5143 | |
Ms. Maryanne E. Damico, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2608 W Kenosha St, Suite 430, Broken Arrow, OK 74012 Phone: 918-259-3714 | |
Mrs. Carla Cathleen Lott, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2221 W Detroit St, Broken Arrow, OK 74012 Phone: 918-615-6492 | |
April Meyer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1306 E College St, Broken Arrow, OK 74012 Phone: 918-251-3200 | |
Outcomes, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 S 283rd East Ave, Broken Arrow, OK 74014 Phone: 918-408-6943 Fax: 918-357-9277 | |
Ashlee Potter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2257 W Washington St, Broken Arrow, OK 74012 Phone: 918-994-7799 | |
Alexis Langston, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 W San Antonio St, Broken Arrow, OK 74012 Phone: 918-410-8740 |