Olivia Chase Peralta, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5849 Issued in OK

Practice address

4619 S Harvard Ave Ste 102
Tulsa, OK 74135-2944

Phone

(539) 867-3151

Fax

(918) 513-5808

NPI assigned

Oct 19, 2023

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

State licenses

Practice roles

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.

• 40:31 Rehab & Wellness, PLLC.

  • Occupational Therapist
  • Muskogee, OK
  • NPI 1578081634
  NPD (past)

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1760264105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S SWEET GUM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124502",
            "telephone_number": "918-629-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 S HARVARD AVE STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352944",
            "telephone_number": "539-867-3151",
            "fax_number": "918-513-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "OLIVIA",
        "middle_name": "CHASE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "5849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Paul Peoples, LCSW
• Peoria Medical LLC
• Barbara Lynn Peper, BSW
• Clark Edwin Pepper
• Cathleen C Peppito, MSW, LCSW, LMFT
• J. Delainna Percifield, LPC, LADC/MH
• Crystal Perdue
• Lucas Dane Perdue
• Mark Wayne Perdue, P.A.
• Jami Kristen Pereira, LCSW

• Pediatric Occupational Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatric Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.