Individual provider Active NPI

Kayley Croke

  • Occupational Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1548998115
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2037 Issued in OK
Practice address
12400 S Hiwassee Rd
Oklahoma City, OK 73165-7681
Phone
(405) 833-1013
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2037 OK Primary

Addresses

Primary practice location

12400 S Hiwassee Rd
Oklahoma City, OK 73165-7681

Mailing address

8712 Prairie Ridge Rd
Oklahoma City, OK 73135-6049
Phone (580) 678-2271

Other practice location 1

200 NW 66th St Ste 925
Oklahoma City, OK 73116-8227
Phone (405) 286-3749

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
2037OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Pediatric Therapy CurrentSince Nov 3, 2024 Accepting new patients
Today'S Therapy Solutions PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1548998115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 PRAIRIE RIDGE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356049",
            "telephone_number": "580-678-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 S HIWASSEE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731657681",
            "telephone_number": "405-833-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NW 66th St Ste 925",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731168227",
            "country_code": "US",
            "telephone_number": "405-286-3749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROKE",
        "first_name": "KAYLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 1, 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.

Verify at the official NPI Registry.