Enabled Living, LLC

Primary specialty

Environmental Modification Occupational TherapistTaxonomy code 225XE0001X

Legal business name

ENABLED LIVING, LLC

Practice address

1908 Rockland Dr
Austin, TX 78748-3065

Phone

(940) 782-1612

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Alexandra Warnken

Title

Director of Operations

Phone

(202) 213-9863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1194359521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 ROCKLAND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 ROCKLAND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483065",
            "telephone_number": "940-782-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "WARNKEN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "202-213-9863"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.