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

State of Oklahoma

Organization Customized Equipment (DME) · NPI 1770544769

State of Oklahoma provides Customized Equipment (DME) in Okmulgee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
3

Practice location Address checks out

1801 E 4th St
Okmulgee, OK 74447-3942
Phone: (918) 293-5155
Fax: (918) 293-5407
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 13 (OK)
Customized Equipment (DME) Taxonomy 332BC3200X · Licence 3 (OK)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence 3 (OK)

Record details

NPI number1770544769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Perkins — Clinical Director · (918) 293-5155
Other names D/B/A Osu-Omulgee Orthotic, Prosthetic And Pedorthic Center
NPI enumeratedMarch 29, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 2506, Okmulgee, OK 74447-8501