MARY KATHLEEN STALEY P.T.
NPI 1104030113
Specialist in Tulsa, OK

Active since May 09, 2007
744 W 9TH ST, REHAB MEDICINE DEPT (H205), TULSA, OK 74127(918) 599-5190(918) 599-5818 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Kathleen Staley P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHLEEN STALEY P.T. (NPI 1104030113) is an individual specialist in Tulsa, Oklahoma, licensed in Oklahoma (PT1080) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1104030113
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARY KATHLEEN STALEYCredential: P.T.
Location Address744 W 9TH ST, REHAB MEDICINE DEPT (H205)Tulsa, OK 74127-9020
Mailing Address5117 E 25th StTulsa, OK 74114-3721 · (918) 742-5187
Fax(918) 599-5818
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104030113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OK · PT1080
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
744 W 9TH ST, Tulsa, OK 74127

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Clinic/Center (Medical Specialty)
744 W 9TH ST
TULSA, OK 74127
General Practice
744 W 9TH ST
TULSA, OK 74127
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Radiology (Diagnostic Radiology)
744 W 9TH ST
TULSA, OK 74127
Anesthesiology
744 W 9TH ST
TULSA, OK 74127
Dietitian, Registered
744 W 9TH ST
TULSA, OK 74127
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Staley's NPI number?

The NPI number for Mary Staley is 1104030113. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Mary Staley located?

Mary Staley practices at 744 W 9th St Rehab Medicine Dept (h205), Tulsa, OK 74127. The listed phone number is (918) 599-5190.

What is Mary Staley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Staley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.