Active NPI
Amy D Gauger
- Occupational Therapy Assistant
- Broken Arrow, OK
National Provider Identifier
1780817619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 2033 W Houston St
Broken Arrow, OK 74012-8304 - Phone
- (918) 994-7799
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
2033 W Houston St
Broken Arrow, OK 74012-8304
Mailing address
2033 W Houston St
Broken Arrow, OK 74012-8304
Phone (918) 994-7799
Other practice location 1
12899 E 76th St N
Ste. 117
Owasso, OK 74055-4026
Phone (918) 609-6003
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1780817619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 W HOUSTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128304",
"telephone_number": "918-994-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 W HOUSTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128304",
"telephone_number": "918-994-7799"
}
],
"practiceLocations": [
{
"address_1": "12899 E 76th St N",
"address_2": "Ste. 117",
"address_purpose": "LOCATION",
"city": "Owasso",
"state": "OK",
"postal_code": "740554026",
"country_code": "US",
"telephone_number": "918-609-6003",
"fax_number": "918-609-6002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUGER",
"first_name": "AMY",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.