Skip to content

Mary Kathleen Staley, P.T.

NPI 1104030113ActiveIndividual· Specialist· Tulsa, OK

Specialist (P.T.) in Tulsa, Oklahoma, licensed in OK, with an NPI issued in May 2007.

Overview

NPI1104030113
StatusActive
Entity typeIndividual
CredentialP.T.
Sole proprietorYes
NPI issuedMay 9, 2007
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XPT1080OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Tulsa

All Specialist providers in Oklahoma →