Active NPI
Emily Ann Mikeman, MOTR/L
- Occupational Therapist
- Oklahoma City, OK
National Provider Identifier
1265746531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1658
- Practice address
- 5500 N Western Ave Ste 153
Oklahoma City, OK 73118-4025 - Phone
- (405) 286-3749
- Fax
- (866) 435-3297
- NPI assigned
- Jul 28, 2010
- 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 Therapist | 225X00000X | 1658 | OK | Primary |
Addresses
Primary practice location
5500 N Western Ave Ste 153
Oklahoma City, OK 73118-4025
Mailing address
5500 N Western Ave Ste 153
Oklahoma City, OK 73118-4025
Phone (405) 286-3749
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 |
|---|---|---|---|
| 1658 | OK | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1265746531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 N WESTERN AVE STE 153",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184025",
"telephone_number": "405-286-3749",
"fax_number": "866-435-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 N WESTERN AVE STE 153",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184025",
"telephone_number": "405-286-3749",
"fax_number": "866-435-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKEMAN",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.