Active NPI
Paul Muriuki Mugo
- Neurorehabilitation Occupational Therapist
- Monahans, TX
National Provider Identifier
1215338207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 117955
- Practice address
- 1200 W 15TH St
Monahans, TX 79756-1478 - Phone
- (432) 943-2741
- NPI assigned
- Sep 9, 2014
- Last updated
- May 23, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 117955 | TX | MD | Speech-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.