Active NPI
Desaree Joy Pulvera Choi
- Occupational Therapist
- Houston, TX
National Provider Identifier
1205368446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT122087
- Practice address
- 4818 East Sam Houston Pkwy N
Houston, TX 77015 - Phone
- (713) 773-5110
- NPI assigned
- Mar 28, 2017
- Reactivated
- Mar 4, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 377714 | FL | |
| Occupational Therapy Assistant | 224Z00000X | OT122087 | TX | |
| Occupational Therapist | 225X00000X | OT122087 | TX | Primary |
Addresses
Primary practice location
4818 East Sam Houston Pkwy N
Houston, TX 77015
Mailing address
4818 East Sam Houston Pkwy N
Houston, TX 77015
Phone (713) 773-5110
Other names 1
- Ms. Desaree Pulvera
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
| License | State | Type | Specialty |
|---|---|---|---|
| 377714 | FL | MD | Occupational Therapy Assistant |
| OT122087 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1205368446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4818 EAST SAM HOUSTON PKWY N",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77015",
"telephone_number": "713-773-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 EAST SAM HOUSTON PKWY N",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77015",
"telephone_number": "713-773-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "DESAREE JOY",
"middle_name": "PULVERA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"deactivation_date": "2021-09-23",
"reactivation_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "377714",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "OT122087",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "OT122087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESAREE",
"last_name": "PULVERA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.