MEDICARE: ADAPTIVE PATHWAYS GROUP OF OKLAHOMA INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	374U00000X	Home Health Aide
3	106S00000X	Behavior Technician
4	171M00000X	Case Manager/Care Coordinator
5	172V00000X	Community Health Worker
6	372600000X	Adult Companion
7	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1609723014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAPTIVE PATHWAYS GROUP OF OKLAHOMA INC

Provider Business Mailing Address
First Line	:	629 W MAIN ST # 1032
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-2221
Country	:	US
Telephone Number	:	405-417-7801
Fax Number	:

Provider Business Practice Location Address
First Line	:	629 W MAIN ST # 1032
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-2221
Country	:	US
Telephone Number	:	405-417-7801
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE ADMIN
Name	:	WILDINE BURGESS
Credential	:
Telephone Number	:	405-417-7801

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

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