Active NPI
M. Marget Wincent, OTIII
- Occupational Therapist
- Tahlequah, OK
National Provider Identifier
1437264397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5289
- Practice address
- 310 W Keetoowah St
Tahlequah, OK 74464-3824 - Phone
- (918) 708-9558
- Fax
- (918) 708-9580
- NPI assigned
- Aug 20, 2006
- 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 | 5289 | OK | Primary |
Addresses
Primary practice location
310 W Keetoowah St
Tahlequah, OK 74464-3824
Mailing address
26 Lakeway Dr
Heath, TX 75032-7609
Phone (214) 605-4101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200942830A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5289 | OK | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonya L Cornwell PHD Clinical Psychologist PLLC | Current | Accepting new patients |
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.
-
- Clinical Psychologist
- Tahlequah, OK
- NPI 1417508904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1437264397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 LAKEWAY DR",
"city": "HEATH",
"state": "TX",
"postal_code": "750327609",
"telephone_number": "214-605-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W KEETOOWAH ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643824",
"telephone_number": "918-708-9558",
"fax_number": "918-708-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCENT",
"first_name": "M.",
"middle_name": "MARGET",
"name_prefix": "Ms.",
"credential": "OTIII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "5289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200942830A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.