MEDICARE: FLOURISH OT AND HOME MODS, PLLC

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1770380313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOURISH OT AND HOME MODS, PLLC

Provider Business Mailing Address
First Line	:	2915 E 85TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-1423
Country	:	US
Telephone Number	:	918-636-3636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 E 85TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-1423
Country	:	US
Telephone Number	:	918-636-3636
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/MANAGING MEMBER
Name	:	MS. HELEN ROULT BRYCE
Credential	:	PHD, OTR/L
Telephone Number	:	918-636-3636

Provider Enumeration Date	:	03/01/2025
Last Update Date	:	12/08/2025

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