Individual provider Active NPI

Teresa Mae Hannay, OTR/L, CLT

  • Occupational Therapist
  • Edmond, OK
National Provider Identifier
1215590591
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
788 Issued in OK
Practice address
515 S Santa Fe Ave Ste 103
Edmond, OK 73003-6286
Phone
(405) 657-2310
Fax
(405) 657-2610
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 788 OK Primary

Addresses

Primary practice location

515 S Santa Fe Ave Ste 103
Edmond, OK 73003-6286

Mailing address

7321 Winding Meadow LN
Oklahoma City, OK 73132-3700
Phone (405) 401-0749

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
788OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Renewed Therapy and Wellness Center PLLC Occupational Therapist PastSince Mar 15, 2018 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1215590591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 WINDING MEADOW LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323700",
            "telephone_number": "405-401-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S SANTA FE AVE STE 103",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036286",
            "telephone_number": "405-657-2310",
            "fax_number": "405-657-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAY",
        "first_name": "TERESA",
        "middle_name": "MAE",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.