Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Renee Pridemore, PTA

Individual provider Physical Therapy Assistant · NPI 1699382655

Kelli Renee Pridemore, PTA is a Physical Therapy Assistant in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3701 M.l.k Jr Blvd
Tulsa, OK 74106
Phone: (918) 425-3583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1699382655
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 24, 2020
Last updated in NPPESMarch 3, 2025
Certification dateFebruary 27, 2025

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