Individual provider Active NPI

Haley Rafferty, COTA

  • Occupational Therapy Assistant
  • Tulsa, OK
National Provider Identifier
1184440489
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2667 Issued in OK
Practice address
5110 S Yale Ave Ste 102
Tulsa, OK 74135-7438
Phone
(918) 492-2386
Fax
(918) 645-8686
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2667 OK Primary

Addresses

Primary practice location

5110 S Yale Ave Ste 102
Tulsa, OK 74135-7438

Mailing address

8255 S 4040 Rd
Talala, OK 74080-3691

Other practice location 1

825 S Bixby St Ste B
Sapulpa, OK 74066-5150
Phone (918) 492-2386

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

LicenseStateTypeSpecialty
2667OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 4 Kids Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1184440489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 S 4040 RD",
            "city": "TALALA",
            "state": "OK",
            "postal_code": "740803691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357438",
            "telephone_number": "918-492-2386",
            "fax_number": "918-645-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 S Bixby St Ste B",
            "address_purpose": "LOCATION",
            "city": "Sapulpa",
            "state": "OK",
            "postal_code": "740665150",
            "country_code": "US",
            "telephone_number": "918-492-2386",
            "fax_number": "918-645-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "HALEY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2667",
            "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 Dec 2, 2024; 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.