Organization
FOUNDATIONS THERAPY, PLLC
Active
Parent organization
FOUNDATIONS THERAPY, PLLC
Other names
Foundations Therapy Prague
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATIONS THERAPY, PLLC
Authorized official
IDELLE ANN MATTHEWS (OFFICE MANAGER)
(405) 585-2971
Entity
Organization
Contact information
Practice address
1515 W MAIN ST, PRAGUE, OK 74864
(405) 566-3291
(405) 566-3290
Mailing address
3903 N HARRISON ST, SHAWNEE, OK 74804-1426
(405) 585-2971
(405) 585-2983
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860730C
—
OK
Enumeration date
08/09/2023
Last updated
02/16/2026
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