Kelly B. Godfrey, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1464 Issued in OK

Practice address

5110 S Yale Ave
Ste 103
Tulsa, OK 74135-7401

Phone

(918) 492-2386

Fax

(918) 645-8686

NPI assigned

Aug 31, 2006

Last updated

Sep 4, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Therapy 4 Kids Inc

  • Pediatric Occupational Therapist
  • Tulsa, OK
  • NPI 1144486317
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1366554099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE",
            "address_2": "STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357401",
            "telephone_number": "918-492-2386",
            "fax_number": "918-645-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE",
            "address_2": "STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357401",
            "telephone_number": "918-492-2386",
            "fax_number": "918-645-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "KELLY",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200085750A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suchitra Godara, MD
• Ketan Deepak Godbole, M.D.
• Casey Goddard
• Margaret Rosales Goddard, CNP, DNP
• Brandy Godden, RN
• Thomas Scott Godkins
• Christopher Franklyn Godman
• Rachel Ann Godsey, OTR/L
• Larry Kenneth Godtel, DPH
• Corey Godwin

• Pediatric Occupational Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatric Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.