Active NPI
Chelsea L McKinney, COTA
- Occupational Therapy Assistant
- Muldrow, OK
National Provider Identifier
1124473699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT2016-014
- Practice address
- 108 Cardinal Cir
Muldrow, OK 74948-3339 - Phone
- (870) 404-6033
- NPI assigned
- May 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | OT2016-014 | AR | Primary |
Addresses
Primary practice location
108 Cardinal Cir
Muldrow, OK 74948-3339
Mailing address
108 Cardinal Cir
Muldrow, OK 74948-3339
Phone (870) 404-6033
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2016-014 | AR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1124473699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CARDINAL CIR",
"city": "MULDROW",
"state": "OK",
"postal_code": "749483339",
"telephone_number": "870-404-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 CARDINAL CIR",
"city": "MULDROW",
"state": "OK",
"postal_code": "749483339",
"telephone_number": "870-404-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "CHELSEA",
"middle_name": "L",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT2016-014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muldrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.