Individual provider Active NPI

Jennifer Gayle Vasquez, OT CHT

  • Hand Occupational Therapist
  • The Woodlands, TX
National Provider Identifier
1154439222
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
108921 Issued in TX
Practice address
1441 Woodstead CT
Ste 200
The Woodlands, TX 77380-1410
Phone
(281) 364-7752
Fax
(281) 292-2726
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 108921 TX Primary

Addresses

Primary practice location

1441 Woodstead CT
Ste 200
The Woodlands, TX 77380-1410

Mailing address

1441 Woodstead CT
Ste 200
The Woodlands, TX 77380-1410
Phone (281) 364-7752

Other identifiers 1

IdentifierTypeStateIssuer
8T3022OtherTXBCBS OF TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051021000052 TX Practitioner - Occupational Therapist in Private Practice 6103842828 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108921TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraworks Inc Hand CurrentSince Jul 8, 2020 Accepting new patients
Theraworks Inc Hand Current Accepting new patients
Select Physical Therapy Texas Limited Partnership CurrentSince Sep 1, 2020 Accepting new patients
Select Physical Therapy Texas Limited Partnership CurrentSince Sep 1, 2020 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588

4899 Highway 6
Ste 212C
Missouri City, TX 77459
Phone (346) 371-2121

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1154439222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WOODSTEAD CT",
            "address_2": "STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801410",
            "telephone_number": "281-364-7752",
            "fax_number": "281-292-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WOODSTEAD CT",
            "address_2": "STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801410",
            "telephone_number": "281-364-7752",
            "fax_number": "281-292-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JENNIFER",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "OT CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "108921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8T3022",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.