Individual provider Active NPI

Paul Muriuki Mugo

  • Neurorehabilitation Occupational Therapist
  • Monahans, TX
National Provider Identifier
1215338207
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
117955 Issued in TX
Practice address
1200 W 15TH St
Monahans, TX 79756-1478
Phone
(432) 943-2741
NPI assigned
Sep 9, 2014
Last updated
May 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 117955 TX Primary

Addresses

Primary practice location

1200 W 15TH St
Monahans, TX 79756-1478

Mailing address

301 N Faudree Rd Apt 912
Odessa, TX 79765
Phone (980) 320-6229

Other practice location 1

201 Parks Village Dr
Odessa, TX 79765-1478
Phone (432) 348-8047

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

LicenseStateTypeSpecialty
117955TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1215338207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N FAUDREE RD APT 912",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79765",
            "telephone_number": "980-320-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 15TH ST",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797561478",
            "telephone_number": "432-943-2741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Parks Village Dr",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797651478",
            "country_code": "US",
            "telephone_number": "432-348-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUGO",
        "first_name": "PAUL",
        "middle_name": "MURIUKI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "TX",
            "license": "117955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monahans, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.