Individual provider Active NPI

Nancy Contos, MS, OTR/L

  • Occupational Therapist
  • Lawton, OK
National Provider Identifier
1528289634
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
KY-R3628 Issued in KY
Practice address
6223 W Gore Blvd
Lawton, OK 73505
Phone
(301) 332-8009
Fax
(580) 670-7074
NPI assigned
May 2, 2007
Last updated
May 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X KY-R3628 KY Primary
Pediatric Occupational Therapist 225XP0200X 1797 OK

Addresses

Primary practice location

6223 W Gore Blvd
Lawton, OK 73505

Mailing address

4301 NE Mossy Oak Dr
Lawton, OK 73507-4556
Phone (301) 332-8009

Other practice location 1

918 Ormsby Ln
Louisville, KY 40242-4536
Phone (502) 327-0045

Other identifiers 1

IdentifierTypeStateIssuer
200463190AMedicaidOK

Other names 1

  • Nancy Brattain Former 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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1797OKMDPhysical Therapist
KY-R3628KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Skills Occupational Therapist CurrentSince Aug 18, 2019 Accepting new patients

Locations

6223 W Gore Blvd
Lawton, OK 73505
Phone (301) 332-8009

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1528289634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NE MOSSY OAK DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735074556",
            "telephone_number": "301-332-8009",
            "fax_number": "580-670-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "301-332-8009",
            "fax_number": "580-670-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 Ormsby Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402424536",
            "country_code": "US",
            "telephone_number": "502-327-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTOS",
        "first_name": "NANCY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R3628",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "1797",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200463190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BRATTAIN",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.