Active NPI
Justen Alexander Ritchey
- Occupational Therapist
- Tulsa, OK
National Provider Identifier
1780272823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5508
- Practice address
- 4908 S Sheridan Rd
Tulsa, OK 74145-5712 - Phone
- (918) 984-9153
- NPI assigned
- Jan 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5508 | OK | Primary |
Addresses
Primary practice location
4908 S Sheridan Rd
Tulsa, OK 74145-5712
Mailing address
243 Williamsburg
Catoosa, OK 74015-2089
Phone (918) 605-0077
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tulsa |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5508 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum of Hope, LLC | Occupational Therapist | Past | Accepting new patients |
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": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1780272823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 WILLIAMSBURG",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740152089",
"telephone_number": "918-605-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741455712",
"telephone_number": "918-984-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHEY",
"first_name": "JUSTEN",
"middle_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "5508",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Tulsa",
"affiliation": "N",
"address_1": "4908 S Sheridan Rd",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741455712",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 5, 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.