MRS. KELLY SHANNON BRUNSTETER MISURACA (NPI# 1215156195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215156195 |
| Entity Type | Individual |
| Full Name | MRS. KELLY SHANNON BRUNSTETER MISURACA |
| Credential | OTR |
| Practice Address |
5300 N Independence Ave Ste 100 Oklahoma City OK 73112-5550 |
| Mailing Address |
11200 Autumn Rd Edmond OK 73013-8378 |
| Practice Telephone | 4059454500 |
| Practice Fax Number | 4059454501 |
| Mailing Telephone | 4057714905 |
| Mailing Fax Number | 4059454501 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT466 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5300 N INDEPENDENCE AVE STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-5550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235358813 | Scott Anthony | Physical Therapist | 5300 N Independence Ave Ste 100, Oklahoma City, OK 73112-5550 | 2007-04-24 |
| 1538708045 | Hilary Perdue | Physical Therapist | 5300 N Independence Ave Ste 100, Oklahoma City, OK 73112-5550 | 2019-12-31 |
| 1356512669 | Stephanie Kay Fike | Occupational Therapist | 5300 N Independence Ave Ste 100, Oklahoma City, OK 73112-5550 | 2008-03-13 |
| 1720275142 | Jill Dianne Marler | Occupational Therapist | 5300 N Independence Ave Ste 100, Oklahoma City, OK 73112-5550 | 2007-09-30 |
| 1578773198 | Tony Alan Crooks | Physical Therapist | 5300 N Independence Ave Ste 100, Oklahoma City, OK 73112-5550 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689994519 | Leilani Maria Kalies | Occupational Therapist | 6201 N Santa Fe Ave, Oklahoma City, OK 73118-7538 | 2010-06-02 |
| 1720261647 | Kiera R Proud | Occupational Therapist | 3327 Nw 50th St, Oklahoma City, OK 73112-5627 | 2007-12-13 |
| 1669403598 | Himanshu S Samantaray | Occupational Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-07-06 |
| 1710934351 | Carrie C Baer | Occupational Therapist | 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 | 2006-05-28 |
| 1669432506 | Leslie A Schroeder | Occupational Therapist | 10001 S Western Ave, 204, Oklahoma City, OK 73139-2997 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831456771 | Andrew Bussman | Occupational Therapist | 524 W Iola St, Broken Arrow, OK 74012-2564 | 2012-04-17 |
| 1437117066 | Kevin William Herauf | Occupational Therapist | 1310 E 15th St, Tulsa, OK 74120 | 2006-05-03 |
| 1255399887 | Joyce Green-halford | Occupational Therapist | 1301 E 15th Street, Tulsa, OK 74120 | 2006-05-03 |
| 1861759938 | Molly Cook | Occupational Therapist | 4808 S 109th East Ave Ste 100, Tulsa, OK 74146 | 2012-04-13 |
| 1811205594 | Leslie R Goodson | Occupational Therapist | 351 N Air Depot Blvd, Ste X, Midwest City, OK 73110-1700 | 2010-09-16 |
| 1104092402 | Beth A Wood | Occupational Therapist | 1407 N Whisenant Dr, Duncan Regional Hospital, Duncan, OK 73533-1650 | 2008-05-06 |
| 1639367766 | Bryce Allen Eslinger | Occupational Therapist | 1310 E 15th St, Tulsa, OK 74120-5804 | 2007-10-15 |
| 1093860967 | Larry Alan Johnson | Occupational Therapist | 8421 E 61st St, Suite P, Tulsa, OK 74133-1924 | 2007-01-23 |
| 1083773980 | Melanie Ann Trook | Occupational Therapist | 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 | 2006-12-06 |
| 1588773329 | Jean Michelle Pryor | Occupational Therapist | 4004 S Yale Ave, Tulsa, OK 74135-6017 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on MRS. KELLY SHANNON BRUNSTETER MISURACA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.