Tess E. Vandenbogaerde, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2005 Issued in OK

Practice address

1300 McGee Dr Ste 113
Norman, OK 73072-5858

Phone

(405) 366-7898

Fax

(405) 366-0010

NPI assigned

Jan 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therafun LLC

  • Pediatric Occupational Therapist
  • Norman, OK
  • NPI 1750310538
  NPD (past)

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1891384541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MCGEE DR STE 113",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725858",
            "telephone_number": "405-366-7898",
            "fax_number": "405-366-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MCGEE DR STE 113",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725858",
            "telephone_number": "405-366-7898",
            "fax_number": "405-366-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBOGAERDE",
        "first_name": "TESS",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK LICENSE OTA",
            "identifier": "2005",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norman",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1300 McGee Dr Ste 113",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730725858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paige Van Oudheusden
• Vanama Yerra M.D. PLLC
• Elizabeth Elaine Vanbuskirk
• Amanda Vance
• Bailey Vandenbogaerde, RN
• Vanessa Long Aprn Inc
• Kassidy Lynn Vankirk
• Martha Varela
• Variety Care, Inc.
• Variety Care, Inc.

• Occupational Therapy Assistant in Norman, OK
• Providers in Norman, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.