Individual provider Active NPI

Catherine Ung Jerrells, OTR/L

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1073661435
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
111129 Issued in TX
Practice address
7215 Windfern Rd
Houston, TX 77040-2301
Phone
(713) 466-8933
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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 111129 TX Primary

Addresses

Primary practice location

7215 Windfern Rd
Houston, TX 77040-2301

Mailing address

27406 Bentridge Park LN
Katy, TX 77494-6035
Phone (281) 299-7005

Other practice location 1

1815 Enclave Pkwy
Houston, TX 77077-3671
Phone (281) 920-0573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219002143 TX Practitioner - Occupational Therapist in Private Practice 3173957404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

151 Royal Dr
Hewitt, TX 76643-2959
Phone (254) 777-5042

1575 Belvidere St
El Paso, TX 79912-2649
Phone (915) 247-7625

1921 S Mason Rd
Katy, TX 77450-6258
Phone (281) 394-4591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111129TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc. Occupational Therapist CurrentSince May 20, 2024 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Sep 19, 2019 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince May 20, 2024 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Sep 19, 2019 Accepting new patients
Prospera Rehabilitation LLC Occupational Therapist CurrentSince Feb 23, 2024 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

110 Horizon Dr
#310
Raleigh, NC 27615

16700 Ella Blvd
Houston, TX 77090
Phone (281) 215-5985

22720 Morton Ranch Rd
Ste 160
Katy, TX 77449
Phone (409) 292-7685

Organizations & group practices 5

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1073661435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27406 BENTRIDGE PARK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946035",
            "telephone_number": "281-299-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 WINDFERN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770402301",
            "telephone_number": "713-466-8933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Enclave Pkwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770773671",
            "country_code": "US",
            "telephone_number": "281-920-0573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERRELLS",
        "first_name": "CATHERINE",
        "middle_name": "UNG",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111129",
            "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 Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.