Individual provider Active NPI

Beth Ann Coffman, MS OTRIL

  • Occupational Therapist
  • Tulsa, OK
National Provider Identifier
1841280559
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT311 Issued in OK
Practice address
3946 S Hudson Ave
Therapy Links Physical Rehabilitation
Tulsa, OK 74135-5608
Phone
(918) 622-1242
Fax
(918) 622-1291
NPI assigned
Oct 24, 2005
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT311 OK Primary

Addresses

Primary practice location

3946 S Hudson Ave
Therapy Links Physical Rehabilitation
Tulsa, OK 74135-5608

Mailing address

PO Box 33223
Therapy Links Physical Rehabilitation
Tulsa, OK 74153-1223
Phone (918) 622-1242

Other names 1

  • Ms. Beth Ann Secrist Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT311OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Links Physical Rehabilitation PLLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1841280559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33223",
            "address_2": "THERAPY LINKS PHYSICAL REHABILITATION",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741531223",
            "telephone_number": "918-622-1242",
            "fax_number": "918-622-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 S HUDSON AVE",
            "address_2": "THERAPY LINKS PHYSICAL REHABILITATION",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355608",
            "telephone_number": "918-622-1242",
            "fax_number": "918-622-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS OTRIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "SECRIST",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 16, 2008; 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.