Empowering Life Therapy, PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1721 Issued in OK

Legal business name

EMPOWERING LIFE THERAPY, PLLC

Practice address

783 County Street 2981
Tuttle, OK 73089-1109

Phone

(405) 694-7703

Fax

(866) 721-5328

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Samantha Prater, OTR/L

Title

Owner/Director

Phone

(405) 694-7703

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1922355189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 COUNTY STREET 2981",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730891109",
            "telephone_number": "405-694-7703",
            "fax_number": "866-721-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 COUNTY STREET 2981",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730891109",
            "telephone_number": "405-694-7703",
            "fax_number": "866-721-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING LIFE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "405-694-7703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "1721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200341030B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Diane Deberry, EDD, MS CCC-SLP
• Tania M Degiusti
• Victoria Sunshine Elizabeth Dick
• John S Dixon, PTA
• Dura-Med Solutions LLC
• Seth Michael Evetts, DDS
• Christopher Folsom, PT
• Grady Memorial Hospital
• Halohealth Mobile Urgent Care
• Miranda High

• Pediatric Occupational Therapist in Tuttle, OK
• Providers in Tuttle, OK by specialty
• Pediatric Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.