Organization Active NPI

Creative Therapy Connections LLC

  • Pediatric Occupational Therapist
  • Cypress, TX
National Provider Identifier
1215552849
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
CREATIVE THERAPY CONNECTIONS LLC
Practice address
18118 Cypress Mist CT
Cypress, TX 77433-2496
Phone
(713) 835-9579
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Mrs. Deshambra Pennie-Sims, OT
Title
Owner/Director
Phone
(713) 835-9579

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Environmental Modification Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XE0001X
Feeding, Eating & Swallowing Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XF0002X
Human Factors Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XH1300X
Neurorehabilitation Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XN1300X
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

18118 Cypress Mist CT
Cypress, TX 77433-2496

Mailing address

18118 Cypress Mist CT
Cypress, TX 77433-2496
Phone (346) 800-1639

Other identifiers 2

IdentifierTypeStateIssuer
1972742237OtherTXNPI
3952038MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1215552849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18118 CYPRESS MIST CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332496",
            "telephone_number": "346-800-1639",
            "fax_number": "281-304-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18118 CYPRESS MIST CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332496",
            "telephone_number": "713-835-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "PENNIE-SIMS",
        "authorized_official_first_name": "DESHAMBRA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "713-835-9579",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Human Factors",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972742237",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3952038",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.