Individual provider Active NPI

Lauren Ashley Riels, OTR/L

  • Occupational Therapist
  • Brenham, TX
National Provider Identifier
1063991644
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
115438 Issued in TX
Practice address
400 E Sayles St
Brenham, TX 77833-2358
Phone
(979) 836-9770
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT15386 FL
Occupational Therapist 225X00000X 115438 TX Primary

Addresses

Primary practice location

400 E Sayles St
Brenham, TX 77833-2358

Mailing address

10150 Grote Rd
Burton, TX 77835-7030
Phone (601) 466-2779

Other identifiers 2

IdentifierTypeStateIssuer
115438OtherTXOCCUPATIONAL THERAPY LICENSE
OT15386OtherFLOCCUPATIONAL THERAPY LICENSE

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
OT15386FLMDOccupational Therapist
115438TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1063991644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 GROTE RD",
            "city": "BURTON",
            "state": "TX",
            "postal_code": "778357030",
            "telephone_number": "601-466-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SAYLES ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778332358",
            "telephone_number": "979-836-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIELS",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15386",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "115438",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "OT15386",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.