Active NPI
Abigail Grace Adams, COTA
- Occupational Therapy Assistant
- Bartlesville, OK
National Provider Identifier
1053900654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2277
- Practice address
- 117 W 5TH St
Suite 200
Bartlesville, OK 74003 - Phone
- (918) 203-3313
- Fax
- (918) 512-4082
- NPI assigned
- Jan 18, 2021
- Last updated
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 2277 | OK | Primary |
Addresses
Primary practice location
117 W 5TH St
Suite 200
Bartlesville, OK 74003
Mailing address
117 W 5TH St Ste 200
Bartlesville, OK 74003-6615
Phone (918) 203-3313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2277 | Other | OK | COTA MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BARTLESVILLE | Direct | Bartlesville Pediatric Occupational Therapy, LLC |
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 |
|---|---|---|---|
| 2277 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartlesville Pediatric Occupational Therapy, LLC | Past | Accepting new patients | |
| Step by Step Therapy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba : Bartlesville Hope Pediatric Clinic
- Pediatric Occupational Therapist
- Bartlesville, OK
- NPI 1285298604
-
dba Step by Step Pediatric Therapy
- Pediatric Physical Therapist
- Owasso, OK
- NPI 1861044521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1053900654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W 5TH ST STE 200",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740036615",
"telephone_number": "918-203-3313",
"fax_number": "918-512-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W 5TH ST",
"address_2": "SUITE 200",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "74003",
"telephone_number": "918-203-3313",
"fax_number": "918-512-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ABIGAIL",
"middle_name": "GRACE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "2277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA MEDICAL LICENSE",
"identifier": "2277",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "BARTLESVILLE",
"affiliation": "Y",
"endpointDescription": "Efax Bartlesville Hope Pediatric Therapy",
"affiliationName": "Bartlesville Pediatric Occupational Therapy, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "scripts",
"address_1": "117 W 5TH ST",
"address_2": "Suite 200",
"city": "Bartlesville",
"state": "OK",
"country_code": "US",
"postal_code": "74003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.