OrganizationActive
Foundations Therapy, PLLC
NPI 1083397848 · Pediatric Occupational Therapist · Prague, OK
Provider details
- NPI number
- 1083397848
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Foundations Therapy, PLLC
- Organization subpart
- Yes
- Authorized official
- Idelle Matthews, Office Manager(405) 585-2971
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
1515 W Main St
Prague, OK 74864
Phone: (405) 566-3291
Fax: (405) 566-3290
Approximate (ZIP-level) locationGet directions
Mailing address
3903 N Harrison St
Shawnee, OK 74804-1426
Other names (DBA / former)
- Doing business as
- Foundations Therapy Prague
Registry dates
- Enumerated
- 2023-08-09
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.