Organization Active NPI

Paula K. Black, Otr

  • Occupational Therapist
  • Lewisville, TX
National Provider Identifier
1114358272
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
109660 Issued in TX
Legal business name
PAULA K. BLACK, OTR
Practice address
461 Crestview Point Dr
Lewisville, TX 75067-8349
Phone
(214) 995-4250
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Paula Katheeine Black, OTRNPI 1326318064
Title
Occupational Therapist, Registered
Phone
(214) 995-4250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 109660 TX Primary

Addresses

Primary practice location

461 Crestview Point Dr
Lewisville, TX 75067-8349

Mailing address

461 Crestview Point Dr
Lewisville, TX 75067-8349
Phone (214) 995-4250

Other identifiers 1

IdentifierTypeStateIssuer
3136293MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1114358272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 CRESTVIEW POINT DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678349",
            "telephone_number": "214-995-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 CRESTVIEW POINT DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678349",
            "telephone_number": "214-995-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA K. BLACK, OTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KATHEEINE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, REGISTERED",
        "authorized_official_telephone_number": "214-995-4250",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3136293",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.