Individual provider Active NPI

Hannah Juenke, OTD

  • Occupational Therapist
  • Missouri City, TX
National Provider Identifier
1013633437
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122987 Issued in TX
Practice address
5819 Highway 6 Ste 115
Missouri City, TX 77459-4061
Phone
(281) 403-2600
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 122987 TX Primary

Addresses

Primary practice location

5819 Highway 6 Ste 115
Missouri City, TX 77459-4061

Mailing address

9923 Channel Set Way
Rosharon, TX 77583-1024
Phone (713) 263-4091

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EnableDoc Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
122987TXMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1013633437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 CHANNEL SET WAY",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831024",
            "telephone_number": "713-263-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 HIGHWAY 6 STE 115",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594061",
            "telephone_number": "281-403-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUENKE",
        "first_name": "HANNAH",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EnableDoc",
            "affiliation": "N",
            "endpointDescription": "EHR Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5819 Highway 6 Ste 115",
            "city": "Missouri City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774594061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.