Individual provider Active NPI

Megan Marie Burkdoll, OT

  • Occupational Therapist
  • Claremore, OK
National Provider Identifier
1902320310
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2116 Issued in OK
Practice address
1071 W Blue Starr Dr Ste 105
Claremore, OK 74017-2869
Phone
(918) 283-2992
Fax
(918) 927-3201
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 2116 OK Primary

Addresses

Primary practice location

1071 W Blue Starr Dr Ste 105
Claremore, OK 74017-2869

Mailing address

2488 E 81St St Ste 290
Tulsa, OK 74137-4299
Phone (918) 494-2665

Other names 1

  • Megan Marie Wink Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828002197 OK Practitioner - Occupational Therapist in Private Practice 7416229380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics of Oklahoma PLLCGroup PAC ID 8426320912, 90 clinicians

Practice addresses (Care Compare)

2488 E 81St St
Suite 290
Tulsa, OK 74137-4265
Phone (918) 494-2665

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
61.03
Promoting interoperability
99
Improvement activities
40
Cost
77.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2116OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Bone & Joint Associates PC CurrentSince Sep 17, 2018 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC CurrentSince Jan 22, 2024 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC Occupational Therapist CurrentSince Jan 22, 2024 Accepting new patients
Osu Health System Anesthesia Past Accepting new patients

Locations

1071 W Blue Starr Dr
Ste 105
Claremore, OK 74017
Phone (918) 283-2992

205 E B St
Jenks, OK 74037
Phone (918) 299-4411

4802 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513

2488 E 81st St
Ste 290
Tulsa, OK 74137
Phone (918) 494-2665

4808 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601

Organizations & group practices 4

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1902320310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374299",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 W BLUE STARR DR STE 105",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172869",
            "telephone_number": "918-283-2992",
            "fax_number": "918-927-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKDOLL",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WINK",
            "middle_name": "MARIE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.