Emily Ayala

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5703 Issued in OK

Practice address

1605 S Eucalyptus Ave Ste 200
Broken Arrow, OK 74012-5996

Phone

(918) 608-1212

Fax

(918) 289-2606

NPI assigned

Jan 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Spot for Kids

  • Speech-Language Pathologist
  • Broken Arrow, OK
  • NPI 1851715395

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1144819962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S EUCALYPTUS AVE STE 200",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125996",
            "telephone_number": "918-608-1212",
            "fax_number": "918-289-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S EUCALYPTUS AVE STE 200",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125996",
            "telephone_number": "918-608-1212",
            "fax_number": "918-289-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "5703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSENSE",
            "identifier": "1886",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSENSE",
            "identifier": "5706",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly P Austin
• Autism Behavior Consultants of Oklahoma, LTD
• Auxilium Health Network, LLC
• Avecia Home Health Care LLC
• Marilyn Joyce Avery, O.T.A.
• Ba Eye Site, PLLC
• Ba Vision
• Phebian Arinola Babalola
• Back Pain Boot Camp
• Back to Basics Chiropractic., PLLC

• All providers in Broken Arrow, OK
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.