Active NPI
Amy Louise Phillips, OTRL
- Occupational Therapist
- Tulsa, OK
National Provider Identifier
1043411622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT479
- Practice address
- 2645 E 35TH St
Tulsa, OK 74105-2822 - Phone
- (918) 745-9339
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT479 | OK | Primary |
Addresses
Primary practice location
2645 E 35TH St
Tulsa, OK 74105-2822
Mailing address
2645 E 35TH St
Tulsa, OK 74105-2822
Phone (918) 745-9339
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT479 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043411622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 E 35TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741052822",
"telephone_number": "918-745-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 E 35TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741052822",
"telephone_number": "918-745-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "AMY",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.