Active NPI
Cody Summers, OT
- Occupational Therapist
- Oklahoma City, OK
National Provider Identifier
1821171885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT968
- Practice address
- 3327 NW 50TH St
Oklahoma City, OK 73112-5627 - Phone
- (405) 946-7300
- Fax
- (405) 946-7306
- NPI assigned
- Oct 23, 2006
- 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 Therapist | 225X00000X | OT968 | OK | Primary |
Addresses
Primary practice location
3327 NW 50TH St
Oklahoma City, OK 73112-5627
Mailing address
3327 NW 50TH St
Oklahoma City, OK 73112-5627
Phone (405) 946-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7180010 | Other | OK | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 968 | OK | MD | Addiction (Substance Use Disorder) Counselor |
| OT968 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821171885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3327 NW 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125627",
"telephone_number": "405-946-7300",
"fax_number": "405-946-7306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 NW 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125627",
"telephone_number": "405-946-7300",
"fax_number": "405-946-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "CODY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7180010",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.