Active NPI
Lindsay Sanford
- Occupational Therapist
- Ardmore, OK
National Provider Identifier
1336877786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1621
- Practice address
- 1107 W Broadway St
Ardmore, OK 73401-2833 - Phone
- (580) 226-5566
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- 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 Therapist | 225X00000X | 1621 | OK | Primary |
Addresses
Primary practice location
1107 W Broadway St
Ardmore, OK 73401-2833
Mailing address
1405 4TH Ave NW # 296
Ardmore, OK 73401-2708
Phone (580) 226-5566
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erinw@prohabsecure.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Rehab LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1405 4th Ave NW
Ardmore, OK 73401
Phone (580) 226-5566
1107 W Broadway St
Ardmore, OK 73401
Phone (580) 226-5566
Organizations & group practices 1
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": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1336877786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 4TH AVE NW # 296",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012708",
"telephone_number": "580-226-5566",
"fax_number": "580-226-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 W BROADWAY ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012833",
"telephone_number": "580-226-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1621",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erinw@prohabsecure.com",
"affiliation": "N",
"endpointDescription": "email addres",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1107 W Broadway St",
"city": "Ardmore",
"state": "OK",
"country_code": "US",
"postal_code": "734012833",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.