NPIMap

Organization Active NPI

Great Changes Resource Center PLLC

  • Occupational Therapist
  • Oklahoma City, OK
National Provider Identifier
1174941512
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT223 Issued in OK
Legal business name
GREAT CHANGES RESOURCE CENTER PLLC
Practice address
1024 NW 47TH St
Suite C
Oklahoma City, OK 73118-6400
Phone
(405) 604-0496
Fax
(405) 601-3750
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Mrs. Laura L Shoun, OTRL
Title
Owner
Phone
(405) 604-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT223 OK Primary

Addresses

Primary practice location

1024 NW 47TH St
Suite C
Oklahoma City, OK 73118-6400

Mailing address

PO Box 720997
Oklahoma City, OK 73172-0997
Phone (405) 604-0496

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1174941512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720997",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731720997",
            "telephone_number": "405-604-0496",
            "fax_number": "405-601-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NW 47TH ST",
            "address_2": "SUITE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186400",
            "telephone_number": "405-604-0496",
            "fax_number": "405-601-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT CHANGES RESOURCE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "SHOUN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-604-0496",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.