Active NPI
Ashley Nichole Parks, OTR/L
- Occupational Therapist
- Waco, TX
National Provider Identifier
1467930271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120419
- Practice address
- 4900 Sanger Ave
Waco, TX 76710-5866 - Phone
- (254) 848-6284
- Fax
- (254) 848-4193
- NPI assigned
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5258 | OK | |
| Occupational Therapist | 225X00000X | 120419 | TX | Primary |
Addresses
Primary practice location
4900 Sanger Ave
Waco, TX 76710-5866
Mailing address
305 N Bighorse St
Skiatook, OK 74070-3801
Phone (918) 694-7606
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 |
|---|---|---|---|
| 5258 | OK | MD | Occupational Therapist |
| 120419 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Therapy Specialties LLC | Occupational Therapist | Past | Accepting new patients |
| Hope for Tulsa | Occupational Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1467930271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N BIGHORSE ST",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "740703801",
"telephone_number": "918-694-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SANGER AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767105866",
"telephone_number": "254-848-6284",
"fax_number": "254-848-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "ASHLEY",
"middle_name": "NICHOLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "5258",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.