Lydia Cantrell, OTR/L
Individual provider Active NPI Occupational Therapist · Valliant, OK
NPI 1235888306 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1235888306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5381 (OK)
- Practice address
- 4617 Baker Road
Valliant, OK 74764 - Phone
- (580) 212-5627
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5381 | OK | Yes |
Addresses
Primary practice location
4617 Baker Road
Valliant, OK 74764
Mailing address
PO Box 346
Valliant, OK 74764-0346
Phone (580) 212-5627
Other practice location 1
2603 Old 98 Rd
Valliant, OK 74764-5256
Phone (580) 212-5627
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcantrellot19@outlook.com | Health Information Exchange (HIE) |
Other providers in Valliant, OK
- Bolton Drug & Jewelry
- Lauren Diane Box
- Burgess Family Healthcare, LLC
- Burgess Imaging, LLC
- Rachel Lauren Burgess
- Amy Causey
- Kayli Breanne Clift
- Amanda Colson
- Frank Dewayne Coolbroth II
- Monte Deater
All providers in Valliant, OK · Occupational Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.