Individual provider Active NPI

Mark O Okafor, OTR/L

  • Occupational Therapist
  • Stanleytown, VA
National Provider Identifier
1003898586
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119003394 Issued in VA
Practice address
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone
(276) 622-3636
Fax
(888) 724-0268
NPI assigned
Nov 18, 2005
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119003394 VA Primary

Addresses

Primary practice location

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014

Mailing address

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (276) 622-3636

Other identifiers 2

IdentifierTypeStateIssuer
743117794OtherVAMEDRISK
743117794OtherVATRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119003394VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
O&W Enterprises, Inc. Occupational Therapist Current Accepting new patients
Therapy Direct Occupational Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1003898586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 FAIRYSTONE PARK HWY",
            "city": "STANLEYTOWN",
            "state": "VA",
            "postal_code": "241683014",
            "telephone_number": "276-622-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 FAIRYSTONE PARK HWY",
            "city": "STANLEYTOWN",
            "state": "VA",
            "postal_code": "241683014",
            "telephone_number": "276-622-3636",
            "fax_number": "888-724-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "MARK",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119003394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDRISK",
            "identifier": "743117794",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "743117794",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanleytown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.