Sonja K Mangrum, MOT,OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1373 Issued in OK

Practice address

15600 Acacia Rd
Oklahoma City, OK 73170-9313

Phone

(405) 664-0586

Fax

(405) 735-6984

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sonja K Johns Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oklahoma Therapy Consultants, Inc

  • Pediatric Occupational Therapist
  • Norman, OK
  • NPI 1841965662

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1194822916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 ACACIA RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731709313",
            "telephone_number": "405-664-0586",
            "fax_number": "866-435-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 ACACIA RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731709313",
            "telephone_number": "405-664-0586",
            "fax_number": "405-735-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRUM",
        "first_name": "SONJA",
        "middle_name": "K",
        "credential": "MOT,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "1373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "JOHNS",
            "middle_name": "K",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerta Mane, M.D.
• Amy Kurian Manfredo, APRN-CNP
• Joseph Kurian Manfredo
• Ashley Annette Manges
• Christian Mangrum, D.O.
• Dale Brian Mangus, COTA/L
• Jeffrey Mani, MD
• Jonathan Mani, M.D.
• Vibitha Mani, MD
• Grant Manion

• Pediatric Occupational Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.