Active NPI
Suparna Mukherjee
- Occupational Therapist
- Mustang, OK
National Provider Identifier
1932380698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT928
- Practice address
- 1337 E State Highway 152
Suite 111
Mustang, OK 73064-5101 - Phone
- (405) 745-4786
- Fax
- (405) 745-4837
- NPI assigned
- Nov 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT928 | OK | Primary |
Addresses
Primary practice location
1337 E State Highway 152
Suite 111
Mustang, OK 73064-5101
Mailing address
1337 E State Highway 152
Suite 111
Mustang, OK 73064-5101
Phone (405) 745-4786
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT928 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Rehabilitation Services of Mustang LP | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Mustang, OK
- NPI 1447332077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1932380698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 E STATE HIGHWAY 152",
"address_2": "SUITE 111",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730645101",
"telephone_number": "405-745-4786",
"fax_number": "405-745-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 E STATE HIGHWAY 152",
"address_2": "SUITE 111",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730645101",
"telephone_number": "405-745-4786",
"fax_number": "405-745-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKHERJEE",
"first_name": "SUPARNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mustang, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.