Kristina Ann Berry, C.O.T.A.

Individual provider Active NPI Occupational Therapy Assistant · Oklahoma City, OK

NPI 1407017296 · NPPES record last updated Jun 24, 2008

Key facts

NPI
1407017296
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
763 (OK)
Practice address
6400 N Santa Fe Ave Ste B
Oklahoma City, OK 73116-9126
Phone
(405) 840-2903
Fax
(405) 840-3256
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
763OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus on Function, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 763 OK Yes

Addresses

Primary practice location

6400 N Santa Fe Ave Ste B
Oklahoma City, OK 73116-9126

Mailing address

10815 Blue Sky Dr
Midwest City, OK 73130-2121
Phone (405) 708-2947

Other names

  • Miss Kristina Ann Dunaway Former name

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Occupational Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.