Individual provider Active NPI

Tanja Glaub, OTR

  • Pediatric Occupational Therapist
  • Houston, TX
National Provider Identifier
1033489729
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
118229 Issued in TX
Practice address
5206 Airline Dr
Suite D
Houston, TX 77022-1959
Phone
(713) 691-5437
Fax
(713) 691-5445
NPI assigned
Jan 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Pediatric Occupational Therapist 225XP0200X 118229 TX Primary

Addresses

Primary practice location

5206 Airline Dr
Suite D
Houston, TX 77022-1959

Mailing address

5206 Airline Dr
Suite D
Houston, TX 77022-1959
Phone (713) 691-5437

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

LicenseStateTypeSpecialty
118229TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kids DC, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1033489729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 AIRLINE DR",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221959",
            "telephone_number": "713-691-5437",
            "fax_number": "713-691-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 AIRLINE DR",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221959",
            "telephone_number": "713-691-5437",
            "fax_number": "713-691-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUB",
        "first_name": "TANJA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "118229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.