Individual provider Active NPI

Lydia Amend, OTR/L

  • Occupational Therapist
  • Bixby, OK
National Provider Identifier
1861389009
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6119 Issued in OK
Practice address
13330 S Memorial Dr Ste 1And2
Bixby, OK 74008-3119
Phone
(918) 943-5084
Fax
(855) 940-1855
NPI assigned
Jun 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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 6119 OK Primary

Addresses

Primary practice location

13330 S Memorial Dr Ste 1And2
Bixby, OK 74008-3119

Mailing address

7738 N Owasso Expy
Owasso, OK 74055-3338
Phone (918) 928-4255

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
6119OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strides Pediatric Therapy CurrentSince Jun 23, 2025 Accepting new patients

Locations

7738 N Owasso Expy
Owasso, OK 74055
Phone (918) 928-4255

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": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1861389009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7738 N OWASSO EXPY",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553338",
            "telephone_number": "918-928-4255",
            "fax_number": "918-928-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 S MEMORIAL DR STE 1AND2",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083119",
            "telephone_number": "918-943-5084",
            "fax_number": "855-940-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEND",
        "first_name": "LYDIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.