OrganizationActive
State of Oklahoma
NPI 1770544769 · Prosthetic/Orthotic Supplier · Okmulgee, OK
Provider details
- NPI number
- 1770544769
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Shelley Perkins, Clinical Director(918) 293-5155
- License
- 3 (OK)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 E 4th St
Okmulgee, OK 74447-3942
Phone: (918) 293-5155
Fax: (918) 293-5407
Street-level locationGet directions
Mailing address
Po Box 2506
Okmulgee, OK 74447-8501
Other names (DBA / former)
- Doing business as
- D/B/A Osu-Omulgee Orthotic, Prosthetic and Pedorthic Center
Registry dates
- Enumerated
- 2006-03-29
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.