Organization Active NPI

Itherapy, P.L.L.C.

  • Pediatric Occupational Therapist
  • Tulsa, OK
National Provider Identifier
1639439870
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1731 Issued in OK
Legal business name
ITHERAPY, P.L.L.C.
Practice address
2429 S Irvington Ave
Tulsa, OK 74114-3821
Phone
(918) 808-9749
Fax
(918) 794-5216
NPI assigned
May 22, 2012
Last updated
May 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Alethea Shrum, MS, OTR/L
Title
Owner
Phone
(918) 810-3067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 1731 OK Primary

Addresses

Primary practice location

2429 S Irvington Ave
Tulsa, OK 74114-3821

Mailing address

2429 S Irvington Ave
Tulsa, OK 74114-3821

Other identifiers 1

IdentifierTypeStateIssuer
200341200BMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1639439870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 S IRVINGTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143821",
            "fax_number": "918-794-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 S IRVINGTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143821",
            "telephone_number": "918-808-9749",
            "fax_number": "918-794-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHERAPY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SHRUM",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-810-3067",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "1731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200341200B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.