MRS. MARY B PICKETT PT,MS,PCS
NPI 1487972469
Physical Therapist - Pediatrics in Oklahoma City, OK

Active since May 14, 2010
11309 SHADY GLEN RD, OKLAHOMA CITY, OK 73162(405) 323-6003 Get Directions Write a Review

NPPES record last updated: May 14, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Mary B Pickett Pt,ms,pcs NPPES

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

MRS. MARY B PICKETT PT,MS,PCS (NPI 1487972469) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (778) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1487972469
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. MARY B PICKETTCredential: PT,MS,PCS
Location Address11309 SHADY GLEN RDOklahoma City, OK 73162-3435
Mailing Address11309 Shady Glen RdOklahoma City, OK 73162-3435 · (405) 323-6003
Sole ProprietorYes
Enumeration DateMay 14, 2010
✔ NPI 1487972469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in OK · 778
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
11309 SHADY GLEN RD, Oklahoma City, OK 73162

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary B Pickett Pt,ms,pcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mary Pickett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
7821 E 76TH ST
Tulsa, OK 74133
  • Reassigned Medicare billing, Oklahoma enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pickett's NPI number?

The NPI number for Mary Pickett is 1487972469. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Mary Pickett located?

Mary Pickett practices at 11309 Shady Glen Rd, Oklahoma City, OK 73162. The listed phone number is (405) 323-6003.

What is Mary Pickett's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Mary Pickett enrolled in Medicare?

Yes. Mary Pickett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Pickett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Pickett reassigns Medicare benefits to Legacy Healthcare Services Inc (Tulsa, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Pickett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Pickett was last updated on May 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.