Healthcare Provider Details

I. General information

NPI: 1972373124
Provider Name (Legal Business Name): PROGRESSIVE THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E CREEK AVE
SALLISAW OK
74955-4608
US

IV. Provider business mailing address

210 E CREEK AVE
SALLISAW OK
74955-4608
US

V. Phone/Fax

Practice location:
  • Phone: 517-733-7337
  • Fax:
Mailing address:
  • Phone: 918-208-3775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KELSEY LEA ORENDORFF
Title or Position: OWNER
Credential: MS, OTR/L
Phone: 501-733-7337