Tara Amber Kirby, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

341 Issued in OK

Practice address

3030 NW Expressway Ste 809
Oklahoma City, OK 73112-5466

Phone

(405) 917-7160

NPI assigned

Aug 13, 2008

Last updated

Aug 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Supplemental Healthcare

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1568759587
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1568618205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N CHICKASAW ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730752408",
            "telephone_number": "405-207-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY STE 809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125466",
            "telephone_number": "405-917-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "TARA",
        "middle_name": "AMBER",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Diane Kippenberger, PA-C
• Cheryl Cathleen Kirby, PA
• Hope Elizabeth Kirby
• Janisha Kirby
• Susan Michelle Kirby, PT
• Timothy W Kirby, D.D.S.
• Kerri J Kirchhoff, MD
• Kirk Unlimited, LLC (Mario Kirk, PhD)
• Amber Kirk
• Christina Renee Kirk, JD

• Occupational Therapy Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.