Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ELITE PEDS OK LLC
Active
Organization
ELITE PEDS OK LLC
Active
Other names
Elite Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS LANGSTON OTR (OWNER)
(918) 766-5233
Entity
Organization
Contact information
Practice address
4800 W SAN ANTONIO ST # 101, BROKEN ARROW, OK 74012-6127
(918) 417-8740
Mailing address
6385 E 124TH CT S, BIXBY, OK 74008-5894
(918) 417-8740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201125410
—
OK
Enumeration date
12/08/2022
Last updated
08/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers