Suraya Lynn Mikus

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

872 Issued in OK

Practice address

1700 E 141St St
Glenpool, OK 74033-3807

Phone

(918) 291-4230

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1285079525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E 57TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057815",
            "telephone_number": "918-808-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 141ST ST",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333807",
            "telephone_number": "918-291-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUS",
        "first_name": "SURAYA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Chompunuchtanin McCrary, RD
• Trecia Annette McElroy, SLP
• Callie Mead, RDN/LD
• Medication Advisors, PLLC
• Alice Metallaoui, DPH
• Georgette(918) 504-3727 E. Morris
• Beverly Margaret Myers, D.PH.
• Daree Ione New, BSW
• Phung Kim Nguyen, PA-C
• Ryan K Noah, DDS

• Occupational Therapist in Glenpool, OK
• Providers in Glenpool, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.