Aubrey Corlette Mentis Jr., COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1801136 Issued in KS

Practice address

1601 Academy Rd
Ponca City, OK 74604-4409

Phone

(580) 749-5923

Fax

(580) 749-5924

NPI assigned

Feb 19, 2015

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1629460241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S FORESTVIEW CT",
            "address_2": "NONE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358225",
            "telephone_number": "316-305-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ACADEMY RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044409",
            "telephone_number": "580-749-5923",
            "fax_number": "580-749-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTIS",
        "first_name": "AUBREY",
        "middle_name": "CORLETTE",
        "name_suffix": "Jr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "1801136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Meadows
• Med Equip DME LLC
• Ada E Mehojah
• Stacey Leeann Melzer, MS, CCC-SLP
• Sunil Menon, MD, MPH
• Jovana Mercado
• Liliana Mercado
• Jim M Merrifield, D.D.S.,M.S.
• Joan Anastasia Merrifield, RN
• Charles Mertz, RN

• Occupational Therapy Assistant in Ponca City, OK
• Providers in Ponca 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 Feb 19, 2015; 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.