Marjorie Lisa Butikofer, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0065 Issued in OK

Practice address

418 S East St
Fort Gibson, OK 74434-8719

Phone

(918) 478-4480

Fax

(918) 478-4480

NPI assigned

Jun 5, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Health Associates, Inc.

  • Rehabilitation Clinic/Center
  • West Des Moines, IA
  • NPI 1831167782
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366644783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S EAST ST",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348719",
            "telephone_number": "918-478-4480",
            "fax_number": "918-478-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S EAST ST",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348719",
            "telephone_number": "918-478-4480",
            "fax_number": "918-478-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTIKOFER",
        "first_name": "MARJORIE",
        "middle_name": "LISA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "0065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Berry-Igert, MSN APRN FNP-C
• Donna Bradford, COTA
• Brandon Medical, LLC
• Maricsa Brown
• Kelsey Buford, OD
• James Bywater
• Erin Lee Carrell, BSW
• Angela Clark
• Brandy Donnell Clopton
• Compass Counseling Services PLLC

• Occupational Therapist in Fort Gibson, OK
• Providers in Fort Gibson, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.