MEDICARE: EARLY STEPS PEDIATRIC THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1215884721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARLY STEPS PEDIATRIC THERAPY LLC

Provider Business Mailing Address
First Line	:	424 RIDGEWOOD
Second Line	:
City	:	NORTH ENID
State	:	OK
Zip	:	73701-6532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 BROADWAY AVE
Second Line	:
City	:	ENID
State	:	OK
Zip	:	73701
Country	:	US
Telephone Number	:	580-277-0145
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JAMIE MULLEN
Credential	:	COTA/L
Telephone Number	:	580-277-0145

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

Similar Medicare Providers

1992448740 — 2ND HOME ADULT DAYCARE, LLC
Practice Location Address:

2425 N GRAND ST
ENID, OK
73701-1534

Practice Phone: 580-297-4034
Practice Fax: 580-324-6245

1659106672 — SAMANTHA JO RIDGE FNP-C
Practice Location Address:

615 E OKLAHOMA AVE STE 202
ENID, OK
73701-5952

Practice Phone: 580-233-3230
Practice Fax:

1861347312 — GABRIELLA RAGSDILL PT, DPT
Practice Location Address:

401 S 3RD ST
ENID, OK
73701-5737

Practice Phone: 580-548-1164
Practice Fax:

1700349230 — MORGAN LEIGH GONZALES
Practice Location Address:

302 N INDEPENDENCE ST STE 802
ENID, OK
73701-4046

Practice Phone: 580-356-9976
Practice Fax: 405-400-8795

1679296628 — GONZALES SLP SERVICES, PLLC
Practice Location Address:

302 N INDEPENDENCE ST STE 802
ENID, OK
73701-4046

Practice Phone: 580-334-1856
Practice Fax: 405-400-8795

1598096646 — TERESA JEANNE ETTER APRN-CNS
Practice Location Address:

427 E CHEROKEE AVE
ENID, OK
73701-5823

Practice Phone: 580-234-7246
Practice Fax: 580-233-2223

Directions to “EARLY STEPS PEDIATRIC THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.