Active NPI
Ashley Robertson, OTR/L
- Occupational Therapist
- Elgin, OK
National Provider Identifier
1689359531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1717
- Practice address
- 9201 State Highway 17 Ste F
Elgin, OK 73538-4517 - Phone
- (405) 996-7810
- NPI assigned
- Jun 19, 2023
- Last updated
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1717 | OK | Primary |
Addresses
Primary practice location
9201 State Highway 17 Ste F
Elgin, OK 73538-4517
Mailing address
539 NE 30TH St
Elgin, OK 73538-2109
Phone (405) 996-7810
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1717 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1689359531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 NE 30TH ST",
"city": "ELGIN",
"state": "OK",
"postal_code": "735382109",
"telephone_number": "405-996-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 STATE HIGHWAY 17 STE F",
"city": "ELGIN",
"state": "OK",
"postal_code": "735384517",
"telephone_number": "405-996-7810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "ASHLEY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.