Individual provider Active NPI

Chelsey Alberty, COTA/L

  • Occupational Therapy Assistant
  • Owasso, OK
National Provider Identifier
1851786966
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1629 Issued in OK
Practice address
12899 E 76TH St N
Ste. 109
Owasso, OK 74055-4021
Phone
(918) 609-6003
Fax
(918) 609-6002
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1629 OK Primary

Addresses

Primary practice location

12899 E 76TH St N
Ste. 109
Owasso, OK 74055-4021

Mailing address

2221 W Detroit St
Broken Arrow, OK 74012-3628
Phone (918) 615-6492

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

LicenseStateTypeSpecialty
1629OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Pediatric Therapy, PLLC Past Accepting new patients
Collaborative Therapy Services Inc PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 2

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1851786966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 W DETROIT ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123628",
            "telephone_number": "918-615-6492",
            "fax_number": "918-615-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12899 E 76TH ST N",
            "address_2": "STE. 109",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554021",
            "telephone_number": "918-609-6003",
            "fax_number": "918-609-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTY",
        "first_name": "CHELSEY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.