Individual provider Active NPI

Audrie Thomas, OTR

  • Pediatric Occupational Therapist
  • West Lake Hills, TX
National Provider Identifier
1164170387
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
122384 Issued in TX
Practice address
4613 Bee Caves Rd Ste 202
West Lake Hills, TX 78746-5207
Phone
(512) 306-1707
Fax
(512) 306-7380
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 122384 TX Primary

Addresses

Primary practice location

4613 Bee Caves Rd Ste 202
West Lake Hills, TX 78746-5207

Mailing address

4613 Bee Caves Rd Ste 202
West Lake Hills, TX 78746-5207
Phone (512) 306-1707

Other identifiers 1

IdentifierTypeStateIssuer
122384OtherTXTEXAS DEPT OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address audrie@fthts.com 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

State licenses

LicenseStateTypeSpecialty
122384TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Giraffe Inc Pediatrics PastSince Mar 20, 2022 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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1164170387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD STE 202",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465207",
            "telephone_number": "512-306-1707",
            "fax_number": "512-306-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD STE 202",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465207",
            "telephone_number": "512-306-1707",
            "fax_number": "512-306-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AUDRIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "122384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPT OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY",
            "identifier": "122384",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrie@fthts.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "West Lake Hills",
            "address_1": "4613 Bee Caves Rd Ste 202",
            "city": "West Lake Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787465207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.