Healthcare Provider Details

I. General information

NPI: 1205786704
Provider Name (Legal Business Name): FORWARD THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5716 NW 135TH ST STE 100
OKLAHOMA CITY OK
73142-5937
US

IV. Provider business mailing address

5716 NW 135TH ST STE 100
OKLAHOMA CITY OK
73142-5937
US

V. Phone/Fax

Practice location:
  • Phone: 405-500-5437
  • Fax: 405-225-0325
Mailing address:
  • Phone: 405-500-5437
  • Fax: 405-225-0325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY E KELLAS
Title or Position: OWNER/SPEECH-LANGUAGE PATHOLOGIST
Credential: MS CCC-SLP
Phone: 305-797-1771