Active NPI
Gabriel Fricker, COTA
- Occupational Therapy Assistant
- Muskogee, OK
National Provider Identifier
1104735273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3028
- Practice address
- 1805 N York St Ste H
Muskogee, OK 74403-1442 - Phone
- (918) 912-2796
- NPI assigned
- Sep 3, 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 Therapy Assistant | 224Z00000X | 3028 | OK | Primary |
Addresses
Primary practice location
1805 N York St Ste H
Muskogee, OK 74403-1442
Mailing address
109 N 44TH West Ave
Tulsa, OK 74127-6306
Phone (918) 949-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1104735273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N 44TH WEST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741276306",
"telephone_number": "918-949-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 N YORK ST STE H",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744031442",
"telephone_number": "918-912-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKER",
"first_name": "GABRIEL",
"name_prefix": "Mr.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "3028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.