Individual provider Active NPI

Catherine Agnes Bracks, OT

  • Occupational Therapist
  • Hixson, TN
National Provider Identifier
1386788651
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3672 Issued in TN
Practice address
5022 Old Godsey LN
Suite 3
Hixson, TN 37343-6600
Phone
(423) 870-3573
Fax
(423) 870-3574
NPI assigned
Feb 19, 2007
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3672 TN Primary
Hand Occupational Therapist 225XH1200X 2017 OK

Addresses

Primary practice location

5022 Old Godsey LN
Suite 3
Hixson, TN 37343-6600

Mailing address

2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Phone (918) 927-3737

Other practice location 1

4808 S 109th East Ave Ste 100
Tulsa, OK 74146
Phone (918) 392-1482

Other practice location 2

2488 E 81st St Ste 290
Tulsa, OK 74137-4265
Phone (918) 494-2665

Other identifiers 3

IdentifierTypeStateIssuer
200762650AMedicaidOK
3156797OtherTNGROUP NUMBER
0446652MedicaidTN

Other names 1

  • Catherine Agnes Greenock Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017OKMDRegistered Dietitian
OT3672TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics of Oklahoma PLLC Hand CurrentSince Jan 27, 2020 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC Occupational Therapist CurrentSince Jan 27, 2020 Accepting new patients
Community Hospital LLC Current Accepting new patients
Community Hospital LLC CurrentSince Jun 1, 2018 Accepting new patients
Osu Health System Anesthesia Past Accepting new patients
Rheumatology & Osteoporosis Institute of Oklahoma LLC PastSince Mar 1, 2020 Accepting new patients

Locations

205 E B St
Jenks, OK 74037
Phone (918) 299-4411

10001 S Western Ave
Ste 204
Oklahoma City, OK 73139
Phone (405) 427-3752

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

2488 E 81st St
Ste 290
Tulsa, OK 74137
Phone (918) 494-2665

6475 S Yale Ave
Ste 301
Tulsa, OK 74136
Phone (918) 494-9300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1386788651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-927-3737",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 OLD GODSEY LN",
            "address_2": "SUITE 3",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436600",
            "telephone_number": "423-870-3573",
            "fax_number": "423-870-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4808 S 109th East Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74146",
            "country_code": "US",
            "telephone_number": "918-392-1482",
            "fax_number": "918-392-7063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2488 E 81st St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374265",
            "country_code": "US",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKS",
        "first_name": "CATHERINE",
        "middle_name": "AGNES",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT3672",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OK",
            "license": "2017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200762650A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "3156797",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446652",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "GREENOCK",
            "middle_name": "AGNES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.