Active NPI
Jason Green, OT
- Occupational Therapist
- Broken Arrow, OK
National Provider Identifier
1083534408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1745
- Practice address
- 1071 N Birch Ave
Broken Arrow, OK 74012 - Phone
- (918) 954-1080
- Fax
- (918) 999-9082
- NPI assigned
- Jul 16, 2026
- Sex
- Male
- 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 Therapist | 225X00000X | 1745 | OK | Primary |
Addresses
Primary practice location
1071 N Birch Ave
Broken Arrow, OK 74012
Mailing address
1071 N Birch Ave
Broken Arrow, OK 74012
Phone (918) 954-1080
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverstone Therapeutic Institute | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Tulsa, OK
- NPI 1720937006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1083534408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1071 N BIRCH AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "74012",
"telephone_number": "918-954-1080",
"fax_number": "918-999-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 N BIRCH AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "74012",
"telephone_number": "918-954-1080",
"fax_number": "918-999-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JASON",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-16",
"last_updated": "2026-07-16",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.