Active NPI
Josiah Abram Hadsall
- Occupational Therapist
- Shawnee, OK
National Provider Identifier
1336313832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1602
- Practice address
- 3315 Kethley Rd
Shawnee, OK 74804-9638 - Phone
- (405) 273-5801
- Fax
- (405) 878-3794
- NPI assigned
- Apr 15, 2008
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-756 | WY | |
| Occupational Therapist | 225X00000X | 1602 | OK | Primary |
Addresses
Primary practice location
3315 Kethley Rd
Shawnee, OK 74804-9638
Mailing address
3315 Kethley Rd
Shawnee, OK 74804-9638
Phone (307) 857-7074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170824001170 | OK | Practitioner - Occupational Therapist in Private Practice | 8426137761 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1602 | OK | MD | Professional Counselor |
| OT-756 | WY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Therapy, PLLC | Past | Accepting new patients | |
| Teton Therapy, P.C. | Occupational Therapist | Past | Accepting new patients |
| Foundations Therapy, PLLC | Past | Accepting new patients | |
| Top Therapy, PC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pediatric Occupational Therapist
- Shawnee, OK
- NPI 1336796242
-
dba Foundations Therapy Prague
- Pediatric Occupational Therapist
- Prague, OK
- NPI 1083397848
-
- Physical Therapy Clinic/Center
- Riverton, WY
- NPI 1275564122
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1336313832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 KETHLEY RD",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748049638",
"telephone_number": "307-857-7074",
"fax_number": "307-857-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 KETHLEY RD",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748049638",
"telephone_number": "405-273-5801",
"fax_number": "405-878-3794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADSALL",
"first_name": "JOSIAH",
"middle_name": "ABRAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OT-756",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.