Active NPI
Rebecca Julia Stoklosa, OTR
- Occupational Therapist
- Tulsa, OK
National Provider Identifier
1376760041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT555
- Practice address
- 3219 S 79TH East Ave
Tulsa, OK 74145-1343 - Phone
- (918) 663-8183
- NPI assigned
- Apr 20, 2007
- 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 | OT555 | OK | Primary |
Addresses
Primary practice location
3219 S 79TH East Ave
Tulsa, OK 74145-1343
Mailing address
300 W Keywest St
Broken Arrow, OK 74011-5037
Phone (918) 451-6134
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT555 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376760041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W KEYWEST ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740115037",
"telephone_number": "918-451-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 S 79TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741451343",
"telephone_number": "918-663-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKLOSA",
"first_name": "REBECCA",
"middle_name": "JULIA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- 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.