Active NPI
Brittany Degravelle, OTR
- Occupational Therapist
- Houston, TX
National Provider Identifier
1134601503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118035
- Practice address
- 11914 Astoria Blvd Ste 620
Houston, TX 77089-6051 - Phone
- (281) 929-4475
- NPI assigned
- Sep 3, 2018
- 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 | 118035 | TX | Primary |
Addresses
Primary practice location
11914 Astoria Blvd Ste 620
Houston, TX 77089-6051
Mailing address
5017 Cornish St Apt 205
Houston, TX 77007-1955
Phone (337) 256-3828
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 |
|---|---|---|---|
| 118035 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1366229619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535932800000",
"number": "1134601503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5017 CORNISH ST APT 205",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770071955",
"telephone_number": "337-256-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11914 ASTORIA BLVD STE 620",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896051",
"telephone_number": "281-929-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAVELLE",
"first_name": "BRITTANY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-03",
"last_updated": "2018-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118035",
"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 Sep 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.