Individual provider Active NPI

Ashley Burkdoll, OTR/L

  • Occupational Therapist
  • Tulsa, OK
National Provider Identifier
1679085385
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
5350 E 31St St Ste 302
Tulsa, OK 74135-5008
Phone
(918) 933-4075
Fax
(918) 779-7794
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2143 OK
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

5350 E 31St St Ste 302
Tulsa, OK 74135-5008

Mailing address

736 W Commercial St
Broken Arrow, OK 74012-3602

Other names 1

  • Ashley Burkdoll Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025000825 OK Practitioner - Occupational Therapist in Private Practice 6901272459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newview Oklahoma IncGroup PAC ID 9133314594, 4 clinicians

Practice addresses (Care Compare)

5350 E 31St St
Suite 302
Tulsa, OK 74135-5008
Phone (405) 286-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2143OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newview Oklahoma Occupational Therapist CurrentSince Aug 1, 2022 Accepting new patients
Newview Oklahoma Inc. Occupational Therapist Current Accepting new patients

Locations

102 SW Frank Phillips Blvd
Bartlesville, OK 74003
Phone (918) 933-4085

501 N Douglas Ave
Oklahoma City, OK 73106
Phone (405) 232-4644

4301 N Classen Blvd
Oklahoma City, OK 73118
Phone (405) 286-9699

5350 E 31st St
Ste 302
Tulsa, OK 74135
Phone (918) 933-4018

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1679085385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W COMMERCIAL ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E 31ST ST STE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355008",
            "telephone_number": "918-933-4075",
            "fax_number": "918-779-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKDOLL",
        "first_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "2143",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BURKDOLL",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.