Individual provider Active NPI

Gabrielle Bennett, OTRL

  • Occupational Therapist
  • Okmulgee, OK
National Provider Identifier
1699366534
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5649 Issued in OK
Practice address
900 E Airport Rd
Okmulgee, OK 74447-9082
Phone
(918) 495-4110
NPI assigned
Feb 2, 2021
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 5649 OK Primary

Addresses

Primary practice location

900 E Airport Rd
Okmulgee, OK 74447-9082

Mailing address

3734 South Ave Ste E
Springfield, MO 65807-5291
Phone (417) 839-4318

Other practice location 1

3312 S Peoria Ave
Tulsa, OK 74105-2029
Phone (918) 400-0089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616003406 OK Practitioner - Occupational Therapist in Private Practice 5294144994 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Services CurrentSince Feb 9, 2023 Accepting new patients
Creoks Mental Health Services CurrentSince Feb 9, 2023 Accepting new patients
Creoks Mental Health Services Current Accepting new patients
Einstein Therapy Center, Inc. Past Accepting new patients
Einstein Therapy Center, Inc. Occupational Therapist PastSince Feb 11, 2024 Accepting new patients
CBH Inc Past Accepting new patients

Locations

4103 S Yale Ave
Tulsa, OK 74135
Phone (405) 275-1844

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

4103 S Yale Ave
Ste C
Tulsa, OK 74135
Phone (918) 465-4110

Interoperability endpoints

  • Direct secure messaging: gabrielle.bennett@250615391387652.direct.elationemr.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1699366534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 SOUTH AVE STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075291",
            "telephone_number": "417-839-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E AIRPORT RD",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744479082",
            "telephone_number": "918-495-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741052029",
            "country_code": "US",
            "telephone_number": "918-400-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "GABRIELLE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.