NPI Code Detail JSON Logo

1518239284 NPI number — CYNTHIA DIANE PUCKETT OTR/L

NPI Number: 1518239284
Health Care Provider/Practitioner: CYNTHIA DIANE PUCKETT OTR/L

Information about “1518239284” NPI (CYNTHIA DIANE PUCKETT OTR/L) exists in 1518239284 in HTML format HTML  |  1518239284 in plain Text format TXT  |  1518239284 in PDF (Portable Document Format) PDF  |  1518239284 in an XML format XML  formats.

NPI Number : 1518239284 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518239284",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PUCKETT",
    "FirstName": "CYNTHIA",
    "MiddleName": "DIANE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PUCKETT",
    "OtherFirstName": "CINDY",
    "OtherMiddleName": "D",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2521 RIDGE ESTATES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YUKON",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73099-5070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-550-3380",
    "MailingAddressFaxNumber": "405-310-1877",
    "FirstLinePracticeLocationAddress": "924 NW 58TH ST STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73118-5905",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-563-1236",
    "PracticeLocationAddressFaxNumber": "405-310-1877",
    "EnumerationDate": "01/27/2012",
    "LastUpdateDate": "10/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225XL0004X",
          "TaxonomyName": "Low Vision Occupational Therapist",
          "LicenseNumber": "OT892",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XF0002X",
          "TaxonomyName": "Feeding, Eating & Swallowing Occupational Therapist",
          "LicenseNumber": "OT892",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XN1300X",
          "TaxonomyName": "Neurorehabilitation Occupational Therapist",
          "LicenseNumber": "OT892",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational Therapist",
          "LicenseNumber": "OT892",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "225XP0019X",
          "TaxonomyName": "Physical Rehabilitation Occupational Therapist",
          "LicenseNumber": "OT892",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT892",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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