Stephannie J Bethel, COTA

Individual provider Active NPI Occupational Therapy Assistant · Bartlesville, OK

NPI 1245090695 · NPPES record last updated Mar 21, 2024

Key facts

NPI
1245090695
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
117 W 5TH St Ste 100
Bartlesville, OK 74003-6615
Phone
(918) 203-3313
Fax
(918) 512-4082
NPI assigned
Mar 21, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bartlesville Pediatric Occupational Therapy, LLC Past
since Mar 24, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

117 W 5TH St Ste 100
Bartlesville, OK 74003-6615

Mailing address

117 W 5TH St Ste 100
Bartlesville, OK 74003-6615
Phone (918) 203-3313

Other providers in Bartlesville, OK

All providers in Bartlesville, OK · Occupational Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.