Active NPI
Full Circle Therapy
- Occupational Therapist
- Frederick, OK
National Provider Identifier
1073434064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- FULL CIRCLE THERAPY
- Practice address
- 1408 Cindy St
Frederick, OK 73542-1604 - Phone
- (580) 305-2988
- NPI assigned
- Jul 24, 2026
- Last updated
- Jul 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kennedy Ann Wambolt, OTR
- Title
- Otr/Owner
- Phone
- (580) 305-2988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
1408 Cindy St
Frederick, OK 73542-1604
Mailing address
1408 Cindy St
Frederick, OK 73542-1604
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Frederick, OK
- NPI 1972424968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1073434064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 CINDY ST",
"city": "FREDERICK",
"state": "OK",
"postal_code": "735421604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 CINDY ST",
"city": "FREDERICK",
"state": "OK",
"postal_code": "735421604",
"telephone_number": "580-305-2988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "WAMBOLT",
"authorized_official_first_name": "KENNEDY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OTR/OWNER",
"authorized_official_telephone_number": "580-305-2988",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, OK
- Christine Farrone
- Frederick Eye Care PLLC
- Frederick Pharmacy Inc (Health Express Pharmacy)
- Frederick Pharmacy Inc
- Frederick Pharmacy, Inc. (Health Express Pharmacy)
- Patricia Ann Gaffney
- Teresa Dianne Gant, CASE MANAGER
- Garrett Gilmore Counseling & Consulting, PLLC
- Cletus Gibbs
- Garrett Thomas Gilmore, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.