Michael Standifer Jr., BS

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

301 Issued in OK

Practice address

220 Village Cir
Ponca City, OK 74601-4021

Phone

(580) 762-0121

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Children S Therapy Zone LLC

  • Occupational Therapist
  • Ponca City, OK
  • NPI 1679172951
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1497472104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 SPRINGWOOD ST APT 614",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746041632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VILLAGE CIR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014021",
            "telephone_number": "580-762-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDIFER",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OK",
            "license": "301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://therapyzonepc.com/",
            "affiliation": "N",
            "address_1": "220 Village Cir",
            "city": "Ponca City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "746014021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren T Spiva
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• Stacy Kraft, LCSW, LLC
• Sylvia Michelle Standard
• Annmarie Stanford
• Willy Steenburgh
• Adelbert Isaiah Jerel Steeprock
• Adele Steeprock
• Valerie Kay Steffey, R.N.

• Speech-Language Assistant in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Speech-Language Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.