Active NPI
Roxene Kaltenbaugh, OTRL
- Occupational Therapist
- Vinita, OK
National Provider Identifier
1245442326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT689
- Practice address
- 715 N Brewer St
Vinita, OK 74301-1426 - Phone
- (918) 256-9207
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | OT689 | OK | Primary |
Addresses
Primary practice location
715 N Brewer St
Vinita, OK 74301-1426
Mailing address
3757 S 4350 Rd
Welch, OK 74369-9661
Phone (918) 788-3631
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT689 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Rehabilitation, Inc | Past | Accepting new patients | |
| Saint Francis Hospital Vinita, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Vinita, OK
- NPI 1700334232
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245442326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3757 S 4350 RD",
"city": "WELCH",
"state": "OK",
"postal_code": "743699661",
"telephone_number": "918-788-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N BREWER ST",
"city": "VINITA",
"state": "OK",
"postal_code": "743011426",
"telephone_number": "918-256-9207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALTENBAUGH",
"first_name": "ROXENE",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.