Active NPI
Joshua Collins, COTA/L
- Occupational Therapy Assistant
- Owasso, OK
National Provider Identifier
1306190822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1243
- Practice address
- 12899 E 76TH St N
109
Owasso, OK 74055-4021 - Phone
- (918) 609-6003
- Fax
- (918) 609-6002
- NPI assigned
- Nov 6, 2012
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 1243 | OK | Primary |
Addresses
Primary practice location
12899 E 76TH St N
109
Owasso, OK 74055-4021
Mailing address
12899 E 76TH St N
109
Owasso, OK 74055-4021
Phone (918) 609-6003
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 |
|---|---|---|---|
| 1243 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracewell Homecare LLC | Current | Accepting new patients | |
| Imagine Pediatric Therapy, PLLC | 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 and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Tulsa, OK
- NPI 1760359384
-
- Pediatric Occupational Therapist
- Owasso, OK
- NPI 1427257013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1306190822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12899 E 76TH ST N",
"address_2": "109",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554021",
"telephone_number": "918-609-6003",
"fax_number": "918-609-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12899 E 76TH ST N",
"address_2": "109",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554021",
"telephone_number": "918-609-6003",
"fax_number": "918-609-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JOSHUA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "1243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.