A. Dominguez Otr, PC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

A. DOMINGUEZ OTR, PC

Practice address

6407 Portuguese Bend Dr
Missouri City, TX 77459-5027

Phone

(832) 818-4206

NPI assigned

Nov 1, 2024

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Fenton, OTRNPI 1972661650

Title

Owner

Phone

(832) 818-4206

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Noami Fenton, OT

  • Occupational Therapist
  • Missouri City, TX
  • NPI 1972661650
  NPD Authorized official

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1184447971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 PORTUGUESE BEND DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595027",
            "telephone_number": "832-818-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 PORTUGUESE BEND DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595027",
            "telephone_number": "832-818-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. DOMINGUEZ OTR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-818-4206",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.