De'Von A Bailey, COTA
Individual provider Active NPI Occupational Therapy Assistant · Tulsa, OK
NPI 1720525975 · NPPES record last updated Jan 26, 2017
Key facts
- NPI
- 1720525975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1763 (OK)
- Practice address
- 5409 E 71St St Apt 18
Tulsa, OK 74136-6250 - Phone
- (918) 497-1068
- Fax
- (918) 497-1069
- NPI assigned
- Jan 26, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1763 | OK | Yes |
Addresses
Primary practice location
5409 E 71St St Apt 18
Tulsa, OK 74136-6250
Mailing address
5409 E 71St Apt 18
5800 E Skelly Dr Suit 402
Tulsa, OK 74136
Phone (918) 497-1068
Other providers in Tulsa, OK
- Ayako C Bailey
- Bertabitha Mauricia Joan Bailey
- Bertheophilus Maurice Bailey Sr.
- Brandon Bailey
- Brandon Micheal Bailey
- Donneth M Bailey
- Dustin E Bailey
- Jaime Lakesh Bailey
- James K Bailey
- Laura Bailey
All providers in Tulsa, OK · Occupational Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.