Mikaela Shae Marshall, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5907 Issued in OK

Practice address

6846 S Canton Ave Ste 120
Tulsa, OK 74136-3413

Phone

(918) 806-0106

NPI assigned

Jun 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Home Therapy Resources, Inc.

  • Pediatric Physical Therapist
  • Tulsa, OK
  • NPI 1265515647

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1699510883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 S NYSSA PL",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333105",
            "telephone_number": "918-728-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 S CANTON AVE STE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363413",
            "telephone_number": "918-806-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MIKAELA",
        "middle_name": "SHAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "5907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La'Ron F Marshall
• Lacey Marshall
• Lisa Diane Marshall, M.S., CCC-SLP
• Loren Ray Marshall, MS, LPC
• Mary E Marshall, D.C.
• Raymond P Marshall, D.C.
• Ryan Dane Marshall, DC
• Shane Marshall, D.O.
• Ted L Marshall, D.M.D.
• Terri Marshall

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.