Individual provider Active NPI

Hans E Cyr, OTRL CHT

  • Occupational Therapist
  • Tulsa, OK
National Provider Identifier
1740211176
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT411 Issued in OK
Practice address
2417 E 53 St
Tulsa, OK 74105-6601
Phone
(918) 712-8412
Fax
(918) 712-8413
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT411 OK Primary

Addresses

Primary practice location

2417 E 53 St
Tulsa, OK 74105-6601

Mailing address

2417 E 53 St
Tulsa, OK 74105-6601
Phone (918) 712-8412

Other identifiers 2

IdentifierTypeStateIssuer
100656130AMedicaidOK
2979439OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000395 OK Practitioner - Occupational Therapist in Private Practice 6608763842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2417 E 53Rd St
Tulsa, OK 74105-6600
Phone (918) 712-8412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
411OKMDMarriage & Family Therapist
OT411OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Ergonomic Consultants, PLLC Occupational Therapist CurrentSince Sep 1, 2002 Accepting new patients

Locations

2417 E 53rd St
Tulsa, OK 74105
Phone (918) 351-1781

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1740211176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 E 53 ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056601",
            "telephone_number": "918-712-8412",
            "fax_number": "918-712-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 E 53 ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056601",
            "telephone_number": "918-712-8412",
            "fax_number": "918-712-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "HANS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100656130A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2979439",
            "state": null
        }
    ],
    "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 Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.