Active NPI
Angel Lee Childress-Vik, OTA
- Occupational Therapy Assistant
- Bartlesville, OK
National Provider Identifier
1225922149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1497
- Practice address
- 2230 SE Washington Blvd Ste 104
Bartlesville, OK 74006-7100 - Phone
- (918) 533-1122
- NPI assigned
- Jun 5, 2025
- 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 Therapy Assistant | 224Z00000X | 1497 | OK | Primary |
Addresses
Primary practice location
2230 SE Washington Blvd Ste 104
Bartlesville, OK 74006-7100
Mailing address
40550 N 4000 Rd
Collinsville, OK 74021-6349
Phone (918) 948-4708
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 |
|---|---|---|---|
| 1497 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1225922149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40550 N 4000 RD",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740216349",
"telephone_number": "918-948-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 SE WASHINGTON BLVD STE 104",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740067100",
"telephone_number": "918-533-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDRESS-VIK",
"first_name": "ANGEL",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "1497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.