Prosperity Therapy Services Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1904 Issued in OK

Legal business name

PROSPERITY THERAPY SERVICES INC

Practice address

41116 E County Road 1240
Keota, OK 74941-6451

Phone

(918) 697-2909

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Ferguson, MOT, OTR/LNPI 1417358987

Title

Occupational Therapist/President

Phone

(918) 697-2909

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Cathleen Ferguson, MOT, OTR/L

  • Occupational Therapist
  • Poteau, OK
  • NPI 1417358987
  NPD Authorized official
• Loretta J Gist

  • Occupational Therapy Assistant
  • Keota, OK
  • NPI 1255919395
  NPD (past)
• Brooke Ashton Mattison, OTR/L

  • Occupational Therapist
  • McAlester, OK
  • NPI 1043804545
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1073093712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41116 E COUNTY ROAD 1240",
            "city": "KEOTA",
            "state": "OK",
            "postal_code": "749416451",
            "telephone_number": "918-697-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41116 E COUNTY ROAD 1240",
            "city": "KEOTA",
            "state": "OK",
            "postal_code": "749416451",
            "telephone_number": "918-697-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "918-697-2909",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200554810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keota Public School
• April Louise Lantz
• Sharon Mills
• Marcia Lynn Parker
• Melissia W Pettigrew, PT
• Mary Elizabeth Quirk
• Jeannette Ann Sharp

• Occupational Therapist in Keota, OK
• Providers in Keota, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.