Individual provider Active NPI

Deborah Elaine Muennink, COTA

  • Occupational Therapy Assistant
  • Uvalde, TX
National Provider Identifier
1073092664
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
208298 Issued in TX
Practice address
535 N Park St
Uvalde, TX 78801-4363
Phone
(830) 278-2505
Fax
(830) 278-4939
NPI assigned
Aug 14, 2018
Last updated
Aug 14, 2018By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 208298 TX Primary

Addresses

Primary practice location

535 N Park St
Uvalde, TX 78801-4363

Mailing address

101 W Goodwin Ave Ste 600
Victoria, TX 77901-6530
Phone (361) 576-0694

Other names 1

  • Mrs. Deborah Elaine Muennink Former name

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
208298TXMDOccupational Therapy Assistant

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": "1073092664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W GOODWIN AVE STE 600",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016530",
            "telephone_number": "361-576-0694",
            "fax_number": "361-576-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N PARK ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014363",
            "telephone_number": "830-278-2505",
            "fax_number": "830-278-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUENNINK",
        "first_name": "DEBORAH",
        "middle_name": "ELAINE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "MUENNINK",
            "middle_name": "ELAINE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uvalde, 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.