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

Mrs. Kelly Marie Swan, PTA

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1619569852

Mrs. Kelly Marie Swan, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Owasso, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

12912 E 86th St N
Owasso, OK 74055-8608
Phone: (918) 524-3833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 N Sioux Ave, Claremore, OK 74017-3128 — (918) 923-4700

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1353 (OK)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 460722482 (OK)

Record details

NPI number1619569852
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESMay 9, 2025
Certification dateApril 30, 2025