Jennifer Block
Individual provider Active NPI Orthotist · Glenpool, OK
NPI 1891647129 · NPPES record last updated Feb 10, 2026
Key facts
- NPI
- 1891647129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthotist 222Z00000X
- License
- 74 (OK)
- Practice address
- 480 E 141St St Ste E
Glenpool, OK 74033-3550 - Phone
- (918) 518-5980
- Fax
- (918) 518-5982
- NPI assigned
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74 | OK | MD | Perfusionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Rehabilitative Orthotic Services LTD Co | Orthotist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 74 | OK | Yes |
Addresses
Primary practice location
480 E 141St St Ste E
Glenpool, OK 74033-3550
Mailing address
480 E 141St St Ste E
Glenpool, OK 74033-3550
Phone (918) 518-5980
Other providers in Glenpool, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.