Individual provider Active NPI

Rachelle Ward, MOT, OTR/L

  • Pediatric Occupational Therapist
  • Broken Arrow, OK
National Provider Identifier
1336716554
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5568 Issued in OK
Practice address
524 W Iola St
Broken Arrow, OK 74012-2564
Phone
(918) 994-5333
Fax
(918) 927-3201
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5568 OK Primary

Addresses

Primary practice location

524 W Iola St
Broken Arrow, OK 74012-2564

Mailing address

2488 E 81St St Ste 290
Tulsa, OK 74137-4299
Phone (918) 927-3199

Other practice location 1

1605 S Eucalyptus Ave Ste 200
Broken Arrow, OK 74012-5996
Phone (918) 608-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627004201 OK Practitioner - Occupational Therapist in Private Practice 0648714907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Oklahoma College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics of Oklahoma PLLCGroup PAC ID 8426320912, 90 clinicians

Practice addresses (Care Compare)

524 W Iola St
Broken Arrow, OK 74012-2564
Phone (918) 994-5333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5568OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics of Oklahoma PLLC CurrentSince Jun 24, 2024 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC CurrentSince Jun 24, 2024 Accepting new patients
The Spot for Kids PastSince Jun 1, 2021 Accepting new patients

Locations

524 W Iola St
Broken Arrow, OK 74012
Phone (918) 994-5333

205 E B St
Jenks, OK 74037
Phone (918) 299-4411

2488 E 81st St
Ste 290
Tulsa, OK 74137
Phone (918) 494-2665

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1336716554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374299",
            "telephone_number": "918-927-3199",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W IOLA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122564",
            "telephone_number": "918-994-5333",
            "fax_number": "918-927-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 S Eucalyptus Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740125996",
            "country_code": "US",
            "telephone_number": "918-608-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "RACHELLE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "5568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.