Organization Active NPI

Wonderfully Made Therapy Services, Inc.

  • Occupational Therapist
  • Oklahoma City, OK
National Provider Identifier
1104369438
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT892 Issued in OK
Legal business name
WONDERFULLY MADE THERAPY SERVICES, INC.
Practice address
13130 Canyon Lakes Dr
Oklahoma City, OK 73142-7405
Phone
(405) 550-3380
Fax
(405) 550-3380
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Cynthia Diane Puckett, OTR/LNPI 1518239284
Title
Occupational Therapist
Phone
(405) 550-3380

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT892 OK Primary

Addresses

Primary practice location

13130 Canyon Lakes Dr
Oklahoma City, OK 73142-7405

Mailing address

13130 Canyon Lakes Dr
Oklahoma City, OK 73142-7405
Phone (405) 550-3380

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1104369438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13130 CANYON LAKES DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731427405",
            "telephone_number": "405-550-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13130 CANYON LAKES DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731427405",
            "telephone_number": "405-550-3380",
            "fax_number": "405-550-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY MADE THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "405-550-3380",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.