Active NPI
Dina Anderson, OTR/L
- Occupational Therapist
- Oklahoma City, OK
National Provider Identifier
1427205285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1074
- Practice address
- 6525 N Meridian Ave Ste 311
Oklahoma City, OK 73116-1410 - Phone
- (800) 728-1115
- NPI assigned
- Aug 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 1074 | OK | Primary |
Addresses
Primary practice location
6525 N Meridian Ave Ste 311
Oklahoma City, OK 73116-1410
Mailing address
9002 N 134TH East Ave
Owasso, OK 74055-2554
Phone (918) 272-7375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200058730A | Medicaid | OK |
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 |
|---|---|---|---|
| 1074 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219536000000",
"number": "1427205285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9002 N 134TH EAST AVE",
"city": "OWASSO",
"state": "OK",
"postal_code": "740552554",
"telephone_number": "918-272-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6525 N MERIDIAN AVE STE 311",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161410",
"telephone_number": "800-728-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DINA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-24",
"last_updated": "2008-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200058730A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.