Active NPI
Christine Carol Veres, OTR/L
- Pediatric Occupational Therapist
- Georgetown, TX
National Provider Identifier
1154468254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 108156
- Practice address
- 1520 Leander Road
Suite 101
Georgetown, TX 78628 - Phone
- (512) 930-5439
- Fax
- (512) 930-5431
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 108156 | TX | Primary |
Addresses
Primary practice location
1520 Leander Road
Suite 101
Georgetown, TX 78628
Mailing address
PO Box 1585
Georgetown, TX 78627-1585
Phone (512) 930-5439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89985T | Other | TX | BCBS PROVIDER NUMBER |
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 |
|---|---|---|---|
| 108156 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidabilities PC | Pediatrics | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1154468254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1585",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786271585",
"telephone_number": "512-930-5439",
"fax_number": "512-930-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 LEANDER ROAD",
"address_2": "SUITE 101",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "78628",
"telephone_number": "512-930-5439",
"fax_number": "512-930-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERES",
"first_name": "CHRISTINE",
"middle_name": "CAROL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "108156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "89985T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.