Individual provider Active NPI

Maria Lucy Cabrera, COTA/L

  • Occupational Therapy Assistant
  • Tulsa, OK
National Provider Identifier
1417546771
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2014 Issued in OK
Practice address
14002 E 21St St Ste 650
Tulsa, OK 74134-1425
Phone
(918) 274-7902
NPI assigned
Jan 12, 2021
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2014 OK Primary

Addresses

Primary practice location

14002 E 21St St Ste 650
Tulsa, OK 74134-1425

Mailing address

14002 E 21St St Ste 650
Tulsa, OK 74134-1425

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

LicenseStateTypeSpecialty
2014OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastgate Metroplex Therapy LLC CurrentSince Jan 17, 2021 Accepting new patients
Hope for Tulsa CurrentSince Oct 8, 2023 Accepting new patients

Locations

14002 E 21st St
Ste 650
Tulsa, OK 74134
Phone (918) 274-7902

Organizations & group practices 2

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1417546771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 E 21ST ST STE 650",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741341425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 E 21ST ST STE 650",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741341425",
            "telephone_number": "918-274-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "MARIA",
        "middle_name": "LUCY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2014",
            "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 Jan 12, 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.