Active NPI
Marissa Horton
- Occupational Therapy Assistant
- Tulsa, OK
National Provider Identifier
1124641634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2343
- Practice address
- 4908 S Sheridan Rd
Tulsa, OK 74145-5712 - Phone
- (918) 984-9153
- NPI assigned
- May 19, 2020
- Reactivated
- Oct 20, 2021
- Sex
- Female
- 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 | 2343 | OK | Primary |
Addresses
Primary practice location
4908 S Sheridan Rd
Tulsa, OK 74145-5712
Mailing address
204 W Utica PL
Broken Arrow, OK 74011-2447
Phone (918) 231-8618
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 |
|---|---|---|---|
| 2343 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Child Development Initiative, Inc. | Past | Accepting new patients | |
| Teach Me LLC | Behavior Analyst | Past | Accepting new patients |
| Spectrum of Hope, LLC | Behavior Analyst | Past | Accepting new patients |
| Therapy & Beyond Medical Management, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prevention Professional
- Tulsa, OK
- NPI 1689107070
-
- Behavior Analyst
- Carrollton, TX
- NPI 1124332911
-
- Developmental Disabilities Clinic/Center
- Carrollton, TX
- NPI 1669146171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1124641634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W UTICA PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740112447",
"telephone_number": "918-231-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741455712",
"telephone_number": "918-984-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2022-07-11",
"certification_date": "2021-10-21",
"deactivation_date": "2021-08-31",
"reactivation_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "2343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.