Ashley Graham, Otr/L LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ASHLEY GRAHAM, OTR/L LLC

Practice address

2506 Diffee Dr
Tahlequah, OK 74464-5721

Phone

(405) 501-1547

NPI assigned

Mar 18, 2020

Last updated

Feb 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Graham

Title

Occupational Therapist

Phone

(405) 501-1547

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GO Therapy LLC Former legal business name

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1124654504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 DIFFEE DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645721",
            "telephone_number": "405-501-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 DIFFEE DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645721",
            "telephone_number": "405-501-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY GRAHAM, OTR/L LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "405-501-1547"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GO Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bobby Andrews
• Angeler Armstrong
• Christina Paige Armstrong, M.S.LPC
• Sherry Arnall
• Nicole Olivia Arney
• Heather Marie Askew
• At Home in Oklahoma, Inc
• Eugena Atkinson, LMSW; MSW U/S
• Raul F Auza, O.D.
• Kristin Avance, LMSW, LCSW

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.