Alysha Kieck, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2550 Issued in OK

Practice address

14002 E 21St St Ste 650
Tulsa, OK 74134-1432

Phone

(918) 274-7902

NPI assigned

Jun 19, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eastgate Metroplex Therapy LLC

  • Speech-Language Pathologist
  • Tulsa, OK
  • NPI 1932715893
  NPD
• Hope for Tulsa

  • Speech-Language Pathologist
  • Tulsa, OK
  • NPI 1962943555
  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1932884897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 S 4103 RD",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740536270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 E 21ST ST STE 650",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741341432",
            "telephone_number": "918-274-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIECK",
        "first_name": "ALYSHA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler Kristine Kiddy
• Kids Dental
• Kids Health Care PC
• Kids Pediatric and Adolescent Care
• Kids Pediatric Care LLC
• Mark Adrain Kiefer, MD
• Jessica Bliss Kiehl
• Natalija Kielhorn, CNP
• Kevin Thomas Kierl, M.D.
• Loren E Kierl, MD

• Occupational Therapy Assistant in Tulsa, OK
• Providers in Tulsa, 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 Dec 12, 2023; 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.