Healthcare Provider Details

I. General information

NPI: 1851814834
Provider Name (Legal Business Name): KIDS THERAPY CONNECTION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E BROADWAY AVE
THOMAS OK
73669-8321
US

IV. Provider business mailing address

118 E BROADWAY AVE
THOMAS OK
73669-8321
US

V. Phone/Fax

Practice location:
  • Phone: 580-661-3517
  • Fax: 580-846-0017
Mailing address:
  • Phone: 580-661-3517
  • Fax: 580-846-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4164
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH BREWER
Title or Position: OWNER
Credential: M.S., CCC-SLP
Phone: 405-397-5957