Individual provider Active NPI

Anita Gail Corley, COTA/L

  • Occupational Therapy Assistant
  • Tulsa, OK
National Provider Identifier
1225564974
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
498 Issued in OK
Practice address
5800 E Skelly Dr
Suite 402
Tulsa, OK 74135-6471
Phone
(918) 984-4408
Fax
(888) 317-1069
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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 498 OK Primary

Addresses

Primary practice location

5800 E Skelly Dr
Suite 402
Tulsa, OK 74135-6471

Mailing address

6024 S 92ND East Ave
Tulsa, OK 74145-8318
Phone (918) 706-2488

Other names 1

  • Mrs. Anita Gail Henderson Former name

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
498OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1225564974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 S 92ND EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741458318",
            "telephone_number": "918-706-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 E SKELLY DR",
            "address_2": "SUITE 402",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356471",
            "telephone_number": "918-984-4408",
            "fax_number": "888-317-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "ANITA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "HENDERSON",
            "middle_name": "GAIL",
            "prefix": "MRS.",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 1, 2017; 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.