Individual provider Active NPI

Kassandra Schencks, COTA/L

  • Occupational Therapy Assistant
  • Owasso, OK
National Provider Identifier
1942798566
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1830 Issued in OK
Practice address
12899 E 76TH St N Ste 109
Owasso, OK 74055-4059
Phone
(918) 609-6003
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1830 OK Primary

Addresses

Primary practice location

12899 E 76TH St N Ste 109
Owasso, OK 74055-4059

Mailing address

12899 E 76TH St N Ste 109
Owasso, OK 74055-4059
Phone (918) 609-6003

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1830OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Pediatric Therapy, PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1942798566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12899 E 76TH ST N STE 109",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554059",
            "telephone_number": "918-609-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12899 E 76TH ST N STE 109",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554059",
            "telephone_number": "918-609-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCKS",
        "first_name": "KASSANDRA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.