Kathy Johnson Jordan, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

762 Issued in TX

Practice address

16835 Deer Creek Dr Ste 12
Spring, TX 77379-4968

Phone

(281) 379-4373

Fax

(281) 655-0762

NPI assigned

Nov 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1124663166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 BRECKENRIDGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770664902",
            "telephone_number": "281-222-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16835 DEER CREEK DR STE 12",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794968",
            "telephone_number": "281-379-4373",
            "fax_number": "281-655-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16835 Deer Creek Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773794968",
            "country_code": "US",
            "telephone_number": "281-379-4373",
            "fax_number": "281-655-0762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KATHY",
        "middle_name": "JOHNSON",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranita H Jones
• Regina Ramirez Jones
• Rica Lynn Jones, LPC-A
• Jordan J Maswoswe
• Jennifer Anne Jordan, M.S. CCC-SLP
• Lanita Jordan
• Marjorie Jordan, LPC
• Shayla Jordan, FNP
• Maiya Lorenz Jorge
• Joseline Nemt Service

• Pediatric Occupational Therapist in Spring, TX
• Providers in Spring, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.