Active NPI
Jane Bomer, M.O.T., O.T.R.
- Occupational Therapist
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 304475
- Practice address
- 4015 Interstate 45 N
Conroe, TX 77304-4901 - Phone
- (936) 522-4731
- Fax
- (936) 522-4737
- NPI assigned
- Mar 3, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 304475 | TX | Primary |
Addresses
Primary practice location
4015 Interstate 45 N
Conroe, TX 77304-4901
Mailing address
4015 Interstate 45 N
Conroe, TX 77304-4901
Phone (936) 522-4731
Other names 1
- Jane Ronzio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304475 | TX | MD | Occupational Therapist |
| 112178 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Texas Limited Partnership | Current | Accepting new patients | |
| Fox Rehabilitation Services TX LLC | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Occupational Therapist | Current | Accepting new patients |
| Select Physical Therapy Texas Limited Partnership | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671
6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750
8101 Cypresswood Dr
Ste 250
Spring, TX 77379
Phone (281) 376-3900
711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273
Organizations & group practices 5
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.
-
- Physical Therapist
- Allen, TX
- NPI 1710582580
Occupational Therapist
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
Occupational Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Tomball, TX
- NPI 1770254179
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Kingwood, TX
- NPI 1184338204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1184753550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 INTERSTATE 45 N",
"city": "CONROE",
"state": "TX",
"postal_code": "773044901",
"telephone_number": "936-522-4731",
"fax_number": "936-522-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 INTERSTATE 45 N",
"city": "CONROE",
"state": "TX",
"postal_code": "773044901",
"telephone_number": "936-522-4731",
"fax_number": "936-522-4737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMER",
"first_name": "JANE",
"name_prefix": "Miss",
"credential": "M.O.T., O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-03",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "304475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "RONZIO",
"credential": "MOT OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.