NPIMap

Organization Active NPI

Ok-Theraplay

  • Early Intervention Provider Agency
  • Edmond, OK
National Provider Identifier
1770166779
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
OK-THERAPLAY
Doing business as
OK-Theraplay
Practice address
1205 Kingston Blvd
Edmond, OK 73034-3227
Phone
(580) 318-9415
Fax
(405) 999-4998
NPI assigned
Apr 28, 2021
Last updated
Apr 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Kortnei Diane Gutierrez, COTANPI 1609488238
Title
Owner
Phone
(580) 318-9415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1205 Kingston Blvd
Edmond, OK 73034-3227

Mailing address

1205 Kingston Blvd
Edmond, OK 73034-3227
Phone (580) 318-9415

Other identifiers 1

IdentifierTypeStateIssuer
1609488238MedicaidOK

Other names 1

  • OK-Theraplay Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgutierrez@ok-theraplay.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1770166779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 KINGSTON BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343227",
            "telephone_number": "580-318-9415",
            "fax_number": "405-999-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 KINGSTON BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343227",
            "telephone_number": "580-318-9415",
            "fax_number": "405-999-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK-THERAPLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "KORTNEI",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-318-9415",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609488238",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgutierrez@ok-theraplay.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 Kingston Blvd",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730343227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OK-Theraplay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.