Individual provider Active NPI

Ryan Lake Barber, COTA/L

  • Occupational Therapy Assistant
  • Stillwater, OK
National Provider Identifier
1740694512
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
211456 Issued in TX
Practice address
301 S Duck St
Stillwater, OK 74074-3249
Phone
(405) 377-8255
Fax
(405) 835-3920
NPI assigned
Jun 19, 2014
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2157 OK
Occupational Therapy Assistant 224Z00000X 211456 TX Primary

Addresses

Primary practice location

301 S Duck St
Stillwater, OK 74074-3249

Mailing address

301 S Duck St
Stillwater, OK 74074-3249
Phone (405) 377-8255

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

LicenseStateTypeSpecialty
2157OKMDOptometrist
211456TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dysphagia Specialists, PLLC Multi-Specialty CurrentSince Jun 2, 2024 Accepting new patients

Locations

301 S Duck St
Stillwater, OK 74074
Phone (405) 377-8255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1740694512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S DUCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743249",
            "telephone_number": "405-377-8255",
            "fax_number": "405-835-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S DUCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743249",
            "telephone_number": "405-377-8255",
            "fax_number": "405-835-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "RYAN",
        "middle_name": "LAKE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2157",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.