Active NPI
Sarah Lawanda Mitchener, OTR/L
- Occupational Therapist
- Jones, OK
National Provider Identifier
1205927019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT410
- Practice address
- 8501 NE 129TH St
Jones, OK 73049-3415 - Phone
- (405) 919-2026
- Fax
- (888) 547-5376
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT410 | OK | Primary |
Addresses
Primary practice location
8501 NE 129TH St
Jones, OK 73049-3415
Mailing address
PO Box 1220
Edmond, OK 73083-1220
Phone (405) 919-2026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100638110B | Medicaid | OK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT410 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy & Developmental Resources of Oklahoma, PLLC | Occupational Therapist | 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.
-
- Occupational Therapist
- Edmond, OK
- NPI 1689766859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1205927019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1220",
"city": "EDMOND",
"state": "OK",
"postal_code": "730831220",
"telephone_number": "405-919-2026",
"fax_number": "888-547-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 NE 129TH ST",
"city": "JONES",
"state": "OK",
"postal_code": "730493415",
"telephone_number": "405-919-2026",
"fax_number": "888-547-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHENER",
"first_name": "SARAH",
"middle_name": "LAWANDA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100638110B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jones, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.