Gabrielle Elise Bolleter, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

21630 Merchants Way
Katy, TX 77449-2514

Phone

(832) 230-1518

NPI assigned

Jan 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center of Developmental Pediatrics

  • Pediatric Occupational Therapist
  • Houston, TX
  • NPI 1538531041

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1154073401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21630 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492514",
            "telephone_number": "832-230-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492514",
            "telephone_number": "832-230-1518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23922 Cinco Village Center Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946620",
            "country_code": "US",
            "telephone_number": "832-437-5866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5757 Woodway Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770571533",
            "country_code": "US",
            "telephone_number": "713-977-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLETER",
        "first_name": "GABRIELLE",
        "middle_name": "ELISE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "122324",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "122324",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chizo@reliantprediatrictherapy.com",
            "affiliation": "N",
            "address_1": "21630 Merchants Way",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774492514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chizo@reliantpediatrictherapy.com",
            "affiliation": "N",
            "address_1": "21630 Merchants Way",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774492514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsea Bohac, AGNP-BC
• Courtney Bohne, PT, DPT
• Rochelle Ann Bolanos
• Erin Bolivar, M.D.
• Karla Fernanda Bolivar
• Deepthi Bollineni, M.D.
• Samantha Bollman
• Elizabeth Bolton, MA, NCC, LPC
• Bonaparte Loving Care
• Justin Bonar

• Occupational Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.