Tara Michelle Ottenbacher, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2138 Issued in OK

Practice address

1805 N York St Ste H
Muskogee, OK 74403-1442

Phone

(918) 912-2796

Fax

(918) 513-5808

NPI assigned

Jun 13, 2013

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• 40:31 Rehab & Wellness, PLLC.

  • Occupational Therapist
  • Muskogee, OK
  • NPI 1578081634
  NPD Authorized official
• Kassie Peck, PLLC

  dba Greenhouse Pediatric Therapy

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
  • NPI 1316350036
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1750729547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 S CYPRESS AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126082",
            "telephone_number": "580-982-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N YORK ST STE H",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031442",
            "telephone_number": "918-912-2796",
            "fax_number": "918-513-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENBACHER",
        "first_name": "TARA",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osu Center for Health Sciences (Osu-Aj Premier Pediatrics of Muskogee)
• Osu Center for Health Sciences (Osu-Aj Triad Eye Institute - Muskogee)
• Osu Center for Health Sciences (Osu-Aj Mind Spa, LLC. Muskogee)
• Osu Center for Health Sciences (Osu-Aj Southside Dermatology Muskogee)
• Osu Center for Health Sciences (Osu-Aj Kidney Care Muskogee)
• Candice Otto
• Deborah Ann Ousley, REGISTERED NURSE BSN
• Outreach Home Services, L.L.C.
• Savanna Renea Overton
• Daniel D Owen, O.D.

• Occupational Therapist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.