Active NPI
Carrie C Seradge, OT
- Hand Occupational Therapist
- Oklahoma City, OK
National Provider Identifier
1710934351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 647
- Practice address
- 1044 SW 44TH St
Suite 518
Oklahoma City, OK 73109-3613 - Phone
- (405) 634-4263
- Fax
- (405) 634-4267
- NPI assigned
- May 28, 2006
- Last updated
- Jul 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 647 | OK | Primary |
Addresses
Primary practice location
1044 SW 44TH St
Suite 518
Oklahoma City, OK 73109-3613
Mailing address
1044 SW 44TH St
Suite 518
Oklahoma City, OK 73109-3609
Phone (405) 634-4263
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | OK | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1710934351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 SW 44TH ST",
"address_2": "SUITE 518",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093609",
"telephone_number": "405-634-4263",
"fax_number": "405-634-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 SW 44TH ST",
"address_2": "SUITE 518",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093613",
"telephone_number": "405-634-4263",
"fax_number": "405-634-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERADGE",
"first_name": "CARRIE",
"middle_name": "C",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OK",
"license": "647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.