Provider Demographics
NPI:1922896315
Name:LOYD, JODIANNE GRACE (OTR/L)
Entity type:Individual
Prefix:
First Name:JODIANNE
Middle Name:GRACE
Last Name:LOYD
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 1:7811 S IRVINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8426
Mailing Address - Country:US
Mailing Address - Phone:918-206-0982
Mailing Address - Fax:
Practice Address - Street 1:10020 E 91ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5835
Practice Address - Country:US
Practice Address - Phone:918-940-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.016525225X00000X
OK6056225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist