Nathaniel Brant Radcliff, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2225 N Main St
Miami, OK 74354-1620

Phone

(918) 542-4101

NPI assigned

Aug 23, 2019

Sex

Male

Sole proprietor

Yes

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

• Neo Orthopedic and Rehabilitation LLC

  • Physical Therapist
  • Miami, OK
  • NPI 1720153638

  OK, Single Specialty

  Medicare reassignment Care Compare group NPD

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Neo Orthopedic and Rehabilitation LLC 8 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OK

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2019.

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1053968909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16102 PAWNEE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541620",
            "telephone_number": "918-542-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFF",
        "first_name": "NATHANIEL",
        "middle_name": "BRANT",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Ann Pryor, FNP-BC
• Deaira Puentes Soto, MS, NCC, LPC
• Daniel Joseph Putt, FNP-C
• Quapaw Counseling Services
• Quapaw Counseling Services
• Suann Raylene Raff, DPH.
• Rachel Kathryn Ramsey, RN
• Anthony E Randle
• Melinda Monk Randle, RPH
• Nicholas Shane Randolph, PTA

• All providers in Miami, OK
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.