Active NPI
Dierdre Nichole Lee, OT
- Occupational Therapist
- Houston, TX
National Provider Identifier
1104336544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118672
- Practice address
- 4888 Loop Central Dr Ste 200
Houston, TX 77081-2227 - Phone
- (713) 838-9050
- Fax
- (713) 838-0926
- NPI assigned
- Oct 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118672 | TX | Primary |
Addresses
Primary practice location
4888 Loop Central Dr Ste 200
Houston, TX 77081-2227
Mailing address
4888 Loop Central Dr Ste 200
Houston, TX 77081-2227
Phone (713) 838-9050
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
| License | State | Type | Specialty |
|---|---|---|---|
| 118672 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals of Greater Houston Inc. | Past | Accepting new patients | |
| Easter Seals of Greater Houston, Inc. | Past | Accepting new patients |
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.
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- Rehabilitation Clinic/Center
- Houston, TX
- NPI 1790021541
-
- Developmental Disabilities Clinic/Center
- Houston, TX
- NPI 1417965252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1104336544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4888 LOOP CENTRAL DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770812227",
"telephone_number": "713-838-9050",
"fax_number": "713-838-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4888 LOOP CENTRAL DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770812227",
"telephone_number": "713-838-9050",
"fax_number": "713-838-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DIERDRE",
"middle_name": "NICHOLE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118672",
"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 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.