Active NPI
Caitilyn Dyane Glidden
- Occupational Therapy Assistant
- Spring, TX
National Provider Identifier
1134896277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 218383
- Practice address
- 25925 Budde Rd
Spring, TX 77380-2011 - Phone
- (281) 465-4468
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 218383 | TX | Primary |
Addresses
Primary practice location
25925 Budde Rd
Spring, TX 77380-2011
Mailing address
4606 Farm to Market 1960 Rd W
Ste 520
Houston, TX 77069
Phone (346) 333-2794
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 |
|---|---|---|---|
| 218383 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1134896277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 FARM TO MARKET 1960 RD W",
"address_2": "STE 520",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77069",
"telephone_number": "346-333-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25925 BUDDE RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773802011",
"telephone_number": "281-465-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIDDEN",
"first_name": "CAITILYN",
"middle_name": "DYANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2024-08-15",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "218383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.