Pediatric Occupational Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT882 Issued in OK

Legal business name

PEDIATRIC OCCUPATIONAL THERAPY, LLC

Practice address

6363 S Trenton Ave
Diagnostic Instruction Center
Tulsa, OK 74136-0741

Phone

(918) 629-3821

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah D O'Connor, MPH, OTR/LNPI 1962518993

Title

Owner-Occupational Therapist

Phone

(918) 629-3821

Specialties & licenses 2

Addresses

Other names 1

• Pediatric Occupational Therapy Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Day O'Connor, OTR/L

  • Pediatric Occupational Therapist
  • Tulsa, OK
  • NPI 1962518993

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1962898635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 E 106TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377005",
            "telephone_number": "918-629-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 S TRENTON AVE",
            "address_2": "DIAGNOSTIC INSTRUCTION CENTER",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741360741",
            "telephone_number": "918-629-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER-OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "918-629-3821",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "OT325",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "OT882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Occupational Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatric Occupational Therapist in Tulsa, OK
• Providers in Tulsa, 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 Apr 9, 2015; 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.