Individual provider Active NPI

Brenda L Valencia-Butler, OTA

  • Occupational Therapy Assistant
  • Yukon, OK
National Provider Identifier
1669258794
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1510 Issued in OK
Practice address
10613 NW 38TH St
Yukon, OK 73099-6003
Phone
(580) 461-2626
NPI assigned
Sep 5, 2023
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1510 OK Primary

Addresses

Primary practice location

10613 NW 38TH St
Yukon, OK 73099-6003

Mailing address

14112 Babbling Brook Dr
Piedmont, OK 73078-7847
Phone (580) 461-2626

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
1510OKMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1669258794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14112 BABBLING BROOK DR",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730787847",
            "telephone_number": "580-461-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10613 NW 38TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996003",
            "telephone_number": "580-461-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA-BUTLER",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.