Individual provider Active NPI

Jillian Christine Korell, OTR/L

  • Occupational Therapist
  • Tulsa, OK
National Provider Identifier
1649553744
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1713 Issued in OK
Practice address
5110 S Yale Ave
Suite 102
Tulsa, OK 74135-7401
Phone
(918) 492-2386
Fax
(918) 645-8686
NPI assigned
Sep 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1713 OK Primary

Addresses

Primary practice location

5110 S Yale Ave
Suite 102
Tulsa, OK 74135-7401

Mailing address

5350 E 22ND PL
Tulsa, OK 74114-2235
Phone (406) 945-0539

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
1713OKMDPediatric Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316908800000",
    "number": "1649553744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 E 22ND PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741142235",
            "telephone_number": "406-945-0539",
            "fax_number": "918-645-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357401",
            "telephone_number": "918-492-2386",
            "fax_number": "918-645-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORELL",
        "first_name": "JILLIAN",
        "middle_name": "CHRISTINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-25",
        "last_updated": "2011-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1713",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 25, 2011; 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.