Individual provider Active NPI

Hailey Yoshino, OT

  • Pediatric Occupational Therapist
  • Dallas, TX
National Provider Identifier
1033867312
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
122539 Issued in TX
Practice address
11886 Greenville Ave Ste 110
Dallas, TX 75243-3569
Phone
(214) 349-6178
Fax
(214) 575-9898
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 122539 TX Primary

Addresses

Primary practice location

11886 Greenville Ave Ste 110
Dallas, TX 75243-3569

Mailing address

2200 W Park Blvd Apt 1704
Plano, TX 75075-2977
Phone (940) 597-1231

Other identifiers 1

IdentifierTypeStateIssuer
122539OtherTXOT LICENSE NUMBER

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
122539TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Therapy Innovations, PC Pediatrics PastSince Mar 20, 2022 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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1033867312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W PARK BLVD APT 1704",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752977",
            "telephone_number": "940-597-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11886 GREENVILLE AVE STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433569",
            "telephone_number": "214-349-6178",
            "fax_number": "214-575-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHINO",
        "first_name": "HAILEY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "122539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE NUMBER",
            "identifier": "122539",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.