Mara Prindle

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

116475 Issued in TX

Practice address

369 Mars Dr
Cotulla, TX 78014-3146

Phone

(214) 442-4000

NPI assigned

Mar 5, 2015

Last updated

Mar 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rock Rehabilitation LLC

  • Physical Therapist
  • Houston, TX
  • NPI 1588046098

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1164815882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 WITTINGTON PL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752341927",
            "telephone_number": "214-442-4000",
            "fax_number": "866-534-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 MARS DR",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780143146",
            "telephone_number": "214-442-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINDLE",
        "first_name": "MARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116475",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Pendaz Lyman, P.T.
• Maa Cotulla Dental
• Ismael Martinez Jr.
• Katherine Pavo Padilla, APRN, FNP-C
• Anjli K Patel
• Juanita M Ruiz, LCDC
• Shikha Sharma
• Shri Divya Drugs LLC (Gaddis Pharmacy)
• Lorena Olinda Solis, PTA
• South Texas Rural Health Services Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.