Active NPI
McKensie K Risinger, OTR/L
- Occupational Therapist
- Oklahoma City, OK
National Provider Identifier
1710407200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2105
- Practice address
- 2304 NW 54TH St
Oklahoma City, OK 73112-7757 - Phone
- (405) 740-5715
- NPI assigned
- Jun 26, 2017
- 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 | 2105 | OK | Primary |
Addresses
Primary practice location
2304 NW 54TH St
Oklahoma City, OK 73112-7757
Mailing address
1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Phone (405) 455-6868
Other practice location 1
1212 S Air Depot Blvd Ste 9
Midwest City, OK 73110-4860
Phone (405) 455-6868 ext. 4
Other names 1
- McKensie Kay Halcomb
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 |
|---|---|---|---|
| 2105 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Today'S Therapy Solutions | Occupational Therapist | 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.
-
- Speech-Language Pathologist
- Moore, OK
- NPI 1558408450
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1710407200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E 15TH ST STE 800B",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136682",
"telephone_number": "405-455-6868",
"fax_number": "405-562-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 NW 54TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731127757",
"telephone_number": "405-740-5715"
}
],
"practiceLocations": [
{
"address_1": "1212 S Air Depot Blvd Ste 9",
"address_purpose": "LOCATION",
"city": "Midwest City",
"state": "OK",
"postal_code": "731104860",
"country_code": "US",
"telephone_number": "405-455-6868 x4",
"fax_number": "405-562-3444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RISINGER",
"first_name": "MCKENSIE",
"middle_name": "K",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "2105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MCKENSIE",
"last_name": "HALCOMB",
"middle_name": "KAY",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.