Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

40:31 Rehab & Wellness, PLLC

Organization Occupational Therapy Assistant · NPI 1578081634

40:31 Rehab & Wellness, PLLC provides Occupational Therapy Assistant services in Muskogee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1805 N York St Ste H
Muskogee, OK 74403-1442
Phone: (918) 912-2796
Fax: (918) 513-5808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2138 (OK)
Occupational Therapy Assistant Taxonomy 224Z00000X
Mental Health Occupational Therapist Taxonomy 225XM0800X
Speech-Language Assistant Taxonomy 2355S0801X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1578081634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Ottenbacher — Owner · (580) 982-8316
NPI enumeratedSeptember 8, 2017
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026
Mailing address1805 N York St Ste H, Muskogee, OK 74403-1442

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