IndividualActive
Misty Williamson, COTA/L
NPI 1609467703 · Occupational Therapy Assistant · Broken Arrow, OK
Provider details
- NPI number
- 1609467703
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 S Main St
Broken Arrow, OK 74012-5528
Phone: (918) 259-5784
Fax: (918) 251-0689
Street-level locationGet directions
Mailing address
701 S Main St
Broken Arrow, OK 74012-5528
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.