Jacob Dylan Bakewell, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2556 Issued in OK

Practice address

101 N Post Rd Ste a
Midwest City, OK 73130-3605

Phone

(405) 397-3550

NPI assigned

Aug 18, 2023

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Male

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

Practice roles

Locations

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.

• Anmxv LLC

  dba OKC Speech LLC

  • Physical Therapy Clinic/Center
  • Midwest City, OK
  • NPI 1689433138
  NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1467235754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 HOMELAND AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725738",
            "telephone_number": "405-808-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N POST RD STE A",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303605",
            "telephone_number": "405-397-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKEWELL",
        "first_name": "JACOB",
        "middle_name": "DYLAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurtyna Bailey-Lusby
• Katelyn Bailey
• Kimberly Ann Baker
• Mary Louise Baker
• Tiffany A Baker, PHARM. D.
• Balanced Care Chiropractic PLLC
• Balanced Care Pain Center PLLC
• Bob Baldwin, O.D.
• Donna Lynn Baldwin
• Jared Baldwin

• Occupational Therapy Assistant in Midwest City, OK
• Providers in Midwest City, 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 Aug 18, 2023; 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.