Carol J. Enders, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

382 Issued in OK

Practice address

2404 N 14TH PL
Broken Arrow, OK 74012-9293

Phone

(918) 760-3141

Fax

(918) 355-2767

NPI assigned

Jun 14, 2007

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

Other names 1

• Miss Carol J. Agnew Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1568666295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 N 14TH PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129293",
            "telephone_number": "918-760-3141",
            "fax_number": "918-355-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 N 14TH PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129293",
            "telephone_number": "918-760-3141",
            "fax_number": "918-355-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERS",
        "first_name": "CAROL",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "AGNEW",
            "middle_name": "J.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Meagan Emerson
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• Eugene NMN Eng, PHARM.D., D.PH.
• Crystal Engles
• Peytyn Engles
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• Occupational Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.