Individual provider Active NPI

Cynthia Diane Puckett, OTR/L

  • Pediatric Occupational Therapist
  • Oklahoma City, OK
National Provider Identifier
1518239284
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT892 Issued in OK
Practice address
924 NW 58TH St Ste 103
Oklahoma City, OK 73118-5905
Phone
(405) 563-1236
Fax
(405) 310-1877
NPI assigned
Jan 27, 2012
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT892 OK
Neurorehabilitation Occupational Therapist 225XN1300X OT892 NU
Pediatric Occupational Therapist 225XP0200X OT892 OK Primary
Physical Rehabilitation Occupational Therapist 225XP0019X OT892 OK
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT892 NU
Low Vision Occupational Therapist 225XL0004X OT892 OK

Addresses

Primary practice location

924 NW 58TH St Ste 103
Oklahoma City, OK 73118-5905

Mailing address

2521 Ridge Estates Dr
Yukon, OK 73099-5070
Phone (405) 550-3380

Other names 1

  • Mrs. Cindy D Puckett Other name

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

LicenseStateTypeSpecialty
OT892OKMDLow Vision Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderfully Made Therapy Services, Inc. Occupational Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1518239284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 RIDGE ESTATES DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995070",
            "telephone_number": "405-550-3380",
            "fax_number": "405-310-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 NW 58TH ST STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185905",
            "telephone_number": "405-563-1236",
            "fax_number": "405-310-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT892",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NU",
            "license": "OT892",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "OT892",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OK",
            "license": "OT892",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NU",
            "license": "OT892",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "OK",
            "license": "OT892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "PUCKETT",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.