Active NPI
Cashlyn Munroe
- Occupational Therapy Assistant
- Ponca City, OK
National Provider Identifier
1508583246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA22021
- Practice address
- 300 Fairview Ave
Ponca City, OK 74601-2053 - Phone
- (580) 830-0667
- NPI assigned
- Oct 24, 2022
- 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 Therapy Assistant | 224Z00000X | |||
| Occupational Therapy Assistant | 224Z00000X | OTA22021 | NM | Primary |
Addresses
Primary practice location
300 Fairview Ave
Ponca City, OK 74601-2053
Mailing address
16719 SW Ohio Street Rd
Douglass, KS 67039-8418
Phone (316) 648-3257
Other practice location 1
10101 Lagrima De Oro Rd NE
Albuquerque, NM 87111-6022
Phone (505) 298-1231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA22021 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.genesishcc.com/canyon |
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 |
|---|---|---|---|
| OTA22021 | NM | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children S Therapy Zone LLC | Occupational Therapy Assistant | Past | 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.
-
- Occupational Therapist
- Ponca City, OK
- NPI 1679172951
Occupational Therapy Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1508583246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16719 SW OHIO STREET RD",
"city": "DOUGLASS",
"state": "KS",
"postal_code": "670398418",
"telephone_number": "316-648-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FAIRVIEW AVE",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746012053",
"telephone_number": "580-830-0667"
}
],
"practiceLocations": [
{
"address_1": "10101 Lagrima De Oro Rd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871116022",
"country_code": "US",
"telephone_number": "505-298-1231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNROE",
"first_name": "CASHLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NM",
"license": "OTA22021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OTA22021",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.genesishcc.com/canyon",
"affiliation": "N",
"address_1": "10101 Lagrima De Oro Rd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871116022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.