Active NPI
Rahael Butris, OTR/L
- Pediatric Occupational Therapist
- Frisco, TX
National Provider Identifier
1003339706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 117796
- Practice address
- 2949 Parkwood Blvd
Apt 244
Frisco, TX 75034 - Phone
- (214) 435-2480
- Fax
- (214) 975-2186
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 117796 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 117796 | TX | Primary |
Addresses
Primary practice location
2949 Parkwood Blvd
Apt 244
Frisco, TX 75034
Mailing address
2949 Parkwood Blvd Apt 244
Frisco, TX 75034
Phone (214) 435-2480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117796 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1003339706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2949 PARKWOOD BLVD APT 244",
"city": "FRISCO",
"state": "TX",
"postal_code": "75034",
"telephone_number": "214-435-2480",
"fax_number": "214-975-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2949 PARKWOOD BLVD",
"address_2": "APT 244",
"city": "FRISCO",
"state": "TX",
"postal_code": "75034",
"telephone_number": "214-435-2480",
"fax_number": "214-975-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTRIS",
"first_name": "RAHAEL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TX",
"license": "117796",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "117796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.