Active NPI
Misty S Vopat, OTR
- Occupational Therapist
- Tulsa, OK
National Provider Identifier
1710039060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1532
- Practice address
- 5009 E 86TH PL
Tulsa, OK 74137-2919 - Phone
- (918) 794-2865
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-01655 | KS | |
| Occupational Therapist | 225X00000X | 1532 | OK | Primary |
Addresses
Primary practice location
5009 E 86TH PL
Tulsa, OK 74137-2919
Mailing address
5009 E 86TH PL
Tulsa, OK 74137-2919
Phone (918) 794-2865
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1532 | OK | MD | Physical Therapy Assistant |
| 17-01655 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Therapy Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Broken Arrow, OK
- NPI 1932344835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1710039060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 E 86TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741372919",
"telephone_number": "918-794-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 E 86TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741372919",
"telephone_number": "918-794-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOPAT",
"first_name": "MISTY",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-01655",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.