Carolyn Terrell, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

901 Issued in OK

Practice address

9029 NW 83Rd St
Yukon, OK 73099-9649

Phone

(405) 612-7471

NPI assigned

Feb 11, 2021

Sex

Female

Sole proprietor

No

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)

Not 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 and National Provider Directory roles.

• Triangle Therapy Connection

  • Occupational Therapist
  • Moore, OK
  • NPI 1235908294
  NPD Authorized official
• Speech Heart Services

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1982171823
  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1407449333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 NW 83RD ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999649",
            "telephone_number": "405-612-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 NW 83RD ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999649",
            "telephone_number": "405-612-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "CAROLYN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Taylor
• Levi Jack Taylor
• Stephanie L Taylor, MD
• Telos Compounding Solutions LLC
• Telos Wellness and Vitality LLC
• Patricia Gayle Teter, M.S.;CCC/SLP-L
• Larry Ray Tevebaugh Jr., NURSE PRACTITIONER
• Brian Emil Thatcher, M.D.
• The Back Stop LLC
• Meghan Theobald

• Occupational Therapy Assistant in Yukon, OK
• Providers in Yukon, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.