Active NPI
Jennifer Ifeanyichuckwu Okolo, B.S,COTA/L
- Occupational Therapy Assistant
- Richmond, TX
National Provider Identifier
1164006177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 216765
- Practice address
- 18406 Trenton Ridge Trce
Richmond, TX 77407-2932 - Phone
- (832) 496-9077
- NPI assigned
- May 6, 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 | 216765 | TX | Primary |
Addresses
Primary practice location
18406 Trenton Ridge Trce
Richmond, TX 77407-2932
Mailing address
18406 Trenton Ridge Trce
Richmond, TX 77407-2932
Phone (832) 496-9077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216765 | Medicaid | TX |
Other names 1
- Jennifer Ifeanyichuckwu Okolo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | J.okolo@houstonpedtherapy.org | Direct |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216765 | TX | MD | Occupational Therapy Assistant |
Interoperability endpoints
- j.okolo@houstonpedtherapy.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1164006177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18406 TRENTON RIDGE TRCE",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072932",
"telephone_number": "832-496-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18406 TRENTON RIDGE TRCE",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072932",
"telephone_number": "832-496-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOLO",
"first_name": "JENNIFER",
"middle_name": "IFEANYICHUCKWU",
"credential": "B.S,COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-06",
"last_updated": "2021-05-06",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "216765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216765",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "J.okolo@houstonpedtherapy.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18406 Trenton Ridge Trce",
"city": "Richmond",
"state": "TX",
"country_code": "US",
"postal_code": "774072932",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "OKOLO",
"middle_name": "IFEANYICHUCKWU",
"credential": "JENNIFER OKOLO, COTA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.