Individual provider Active NPI

Gabriel Fricker, COTA

  • Occupational Therapy Assistant
  • Muskogee, OK
National Provider Identifier
1104735273
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3028 Issued in OK
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

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.