Individual provider Active NPI

Evbaziengbere Osazuwa, OTR

  • Occupational Therapist
  • Missouri City, TX
National Provider Identifier
1104274455
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114807 Issued in TX
Practice address
4220 Cartwright Rd Ste 705
Missouri City, TX 77459-5312
Phone
(832) 490-8488
Fax
(713) 456-2041
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 114807 TX
Occupational Therapist 225X00000X 114807 TX Primary

Addresses

Primary practice location

4220 Cartwright Rd Ste 705
Missouri City, TX 77459-5312

Mailing address

14090 Southwest Fwy Ste 300
Sugar Land, TX 77478-3679
Phone (832) 361-8294

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
114807TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chayah Therapy Center Inc. Occupational Therapist CurrentSince Sep 5, 2023 Accepting new patients
Chayah Therapy Inc Occupational Therapist CurrentSince Jul 31, 2023 Accepting new patients

Locations

4220 Cartwright Rd
Ste 705
Missouri City, TX 77459
Phone (832) 490-8488

14090 Southwest Fwy
Ste 300
Sugar Land, TX 77478
Phone (346) 433-1579

Organizations & group practices 2

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1104274455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 SOUTHWEST FWY STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783679",
            "telephone_number": "832-361-8294",
            "fax_number": "713-456-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 705",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595312",
            "telephone_number": "832-490-8488",
            "fax_number": "713-456-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAZUWA",
        "first_name": "EVBAZIENGBERE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "114807",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.