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TRIAD PEDIATRIC THERAPY, LLC
NPI 1720745755
Pediatrics in Tulsa, OK

Active since November 24, 2021
6846 S CANTON AVE STE 120, TULSA, OK 74136(918) 232-3064 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Triad Pediatric Therapy, Llc NPPES

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

TRIAD PEDIATRIC THERAPY, LLC (NPI 1720745755) is a healthcare organization registered as a pediatrics in Tulsa, Oklahoma and active in the NPI registry since November 2021. The organization lists Eddie Mccorkle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720745755
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTRIAD PEDIATRIC THERAPY, LLC
Location Address6846 S CANTON AVE STE 120Tulsa, OK 74136-3412
Mailing Address1209 S Cypress PlBroken Arrow, OK 74012-6094 · (918) 232-3064
Phone(918) 232-3064
Organization SubpartNo
Authorized OfficialEddie MccorkleCeo · (918) 232-3064
Enumeration DateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
✔ NPI 1720745755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6846 S CANTON AVE STE 120, Tulsa, OK 74136
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

KIMBERLY WADE M.S., CCC-SLP
Speech-Language Pathologist
6846 S CANTON AVE STE 120
TULSA, OK 74136
Tulsa County (918) 441-8554
BROOKLYN MOORE
Occupational Therapist
6846 S CANTON AVE STE 120
TULSA, OK 74136
Tulsa County (918) 806-0106
HOME THERAPY RESOURCES, INC.
Physical Therapist (Pediatrics)
6846 S CANTON AVE STE 120
TULSA, OK 74136
Tulsa County (918) 806-0106
ASHTON URICH COTA/L
Occupational Therapy Assistant
6846 S CANTON AVE STE 120
TULSA, OK 74136
Tulsa County (918) 806-0106
HAYLEY NICOLE KRUSE
Occupational Therapy Assistant
6846 S CANTON AVE STE 120
TULSA, OK 74136
Tulsa County (918) 806-0106
SHAWNA SCHLABAUGH PTA
Physical Therapy Assistant
6846 S CANTON AVE STE 120
TULSA, OK 74136
Tulsa County (918) 806-0106
MISS SARAH ASHLEY HOLDER SLP
Speech-Language Pathologist
6846 S CANTON AVE STE 120
TULSA, OK 74136
Tulsa County (918) 806-0106
MRS. KIMBERLY MICHELLE KNAPP PT
Physical Therapist
6846 S CANTON AVE STE 120
TULSA, OK 74136
Tulsa County (918) 806-0106

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 Triad Pediatric Therapy, LLC's NPI number?

The NPI number for Triad Pediatric Therapy, LLC is 1720745755. It was assigned to this organization in the NPPES registry on November 24, 2021.

Where is Triad Pediatric Therapy, LLC located?

Triad Pediatric Therapy, LLC is located at 6846 S Canton Ave Ste 120, Tulsa, OK 74136. The listed phone number is (918) 232-3064.

What is Triad Pediatric Therapy, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Triad Pediatric Therapy, LLC was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.