Individual provider Active NPI

Joshua Reese, OTR

  • Occupational Therapist
  • Broken Arrow, OK
National Provider Identifier
1992453351
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5583 Issued in OK
Practice address
1605 S Eucalyptus Ave Ste 200
Broken Arrow, OK 74012-5996
Phone
(918) 608-1212
Fax
(918) 289-2606
NPI assigned
Mar 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5583 OK Primary

Addresses

Primary practice location

1605 S Eucalyptus Ave Ste 200
Broken Arrow, OK 74012-5996

Mailing address

12018 S Elm St Ste 111
Jenks, OK 74037-3653
Phone (918) 404-5066

Other practice location 1

12018 S Elm St Ste 111
Jenks, OK 74037-3653
Phone (918) 404-5066

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
5583OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Spot for Kids PastSince Mar 20, 2022 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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1992453351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12018 S ELM ST STE 111",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373653",
            "telephone_number": "918-404-5066",
            "fax_number": "918-296-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S EUCALYPTUS AVE STE 200",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125996",
            "telephone_number": "918-608-1212",
            "fax_number": "918-289-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12018 S Elm St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Jenks",
            "state": "OK",
            "postal_code": "740373653",
            "country_code": "US",
            "telephone_number": "918-404-5066",
            "fax_number": "918-296-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "JOSHUA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "5583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.