Provider Demographics
NPI:1427300094
Name:RINEHART, ASHLEY CHANCY (OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CHANCY
Last Name:RINEHART
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6680 S 326TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-7581
Mailing Address - Country:US
Mailing Address - Phone:918-557-4648
Mailing Address - Fax:
Practice Address - Street 1:7821 E 76TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3680
Practice Address - Country:US
Practice Address - Phone:918-557-4648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
OK1608225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist