Active NPI
Chimela Okoro, OTR/L
- Occupational Therapist
- Waldorf, MD
National Provider Identifier
1528307014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06939
- Practice address
- 4680 Prestancia PL
Apt. 102
Waldorf, MD 20602-4137 - Phone
- (717) 440-7760
- Fax
- (301) 638-2986
- NPI assigned
- Feb 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 06939 | MD | Primary |
| Occupational Therapist | 225X00000X | 012885-1 | NY |
Addresses
Primary practice location
4680 Prestancia PL
Apt. 102
Waldorf, MD 20602-4137
Mailing address
4680 Prestancia PL
Apt. 102
Waldorf, MD 20602-4137
Phone (717) 440-7760
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 |
|---|---|---|---|
| 06939 | MD | MD | Psychologist |
| 012885-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1528307014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4680 PRESTANCIA PL",
"address_2": "APT. 102",
"city": "WALDORF",
"state": "MD",
"postal_code": "206024137",
"telephone_number": "717-440-7760",
"fax_number": "301-638-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 PRESTANCIA PL",
"address_2": "APT. 102",
"city": "WALDORF",
"state": "MD",
"postal_code": "206024137",
"telephone_number": "717-440-7760",
"fax_number": "301-638-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKORO",
"first_name": "CHIMELA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-04",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06939",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012885-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.