Therapy & Developmental Resources of Oklahoma, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT410 Issued in OK

Legal business name

THERAPY & DEVELOPMENTAL RESOURCES OF OKLAHOMA, PLLC

Practice address

219 E Main St
Edmond, OK 73034-4537

Phone

(405) 919-2026

Fax

(888) 547-5376

NPI assigned

Sep 28, 2006

Last updated

Sep 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Lawanda Mitchener, OTR/LNPI 1205927019

Title

Occupational Therapist

Phone

(405) 919-2026

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

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.

• Sarah Lawanda Mitchener, OTR/L

  • Occupational Therapist
  • Jones, OK
  • NPI 1205927019
  NPD (past) Authorized official
• Chrisha De Shawne McGann, MOT, OTR/L

  • Occupational Therapist
  • Edmond, OK
  • NPI 1821189630
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1689766859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730831220",
            "telephone_number": "405-919-2026",
            "fax_number": "888-547-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344537",
            "telephone_number": "405-919-2026",
            "fax_number": "888-547-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY & DEVELOPMENTAL RESOURCES OF OKLAHOMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "MITCHENER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LAWANDA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "405-919-2026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT1436",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200084300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.