Organization Active NPI

Reflections Therapy Inc

  • Occupational Therapist
  • Roland, OK
National Provider Identifier
1376140368
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
REFLECTIONS THERAPY INC
Practice address
105 E Ray Fine Blvd Ste L
Roland, OK 74954-5331
Phone
(918) 675-0075
Fax
(918) 675-0801
NPI assigned
Oct 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Mrs. Jade Nicole Verge, MS, OTR/LNPI 1336698067
Title
Occupational Therapist
Phone
(918) 675-0075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

105 E Ray Fine Blvd Ste L
Roland, OK 74954-5331

Mailing address

2 Old Greenwood LN
Fort Smith, AR 72903-6411
Phone (479) 459-0636

Other practice location 1

2 Old Greenwood Ln
Fort Smith, AR 72903-6411
Phone (479) 459-0636

National Provider Directory

National Provider Directory

Locations

105 E Ray Fine Blvd
Ste L
Roland, OK 74954
Phone (918) 675-0075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1376140368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD GREENWOOD LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036411",
            "telephone_number": "479-459-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E RAY FINE BLVD STE L",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545331",
            "telephone_number": "918-675-0075",
            "fax_number": "918-675-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Old Greenwood Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729036411",
            "country_code": "US",
            "telephone_number": "479-459-0636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REFLECTIONS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "VERGE",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "918-675-0075",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.