Active NPI
Creative Therapy Connections LLC
- Pediatric Occupational Therapist
- Cypress, TX
National Provider Identifier
1215552849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Environmental Modification Occupational Therapist | 225XE0001X | |||
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Human Factors Occupational Therapist | 225XH1300X | |||
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Pediatric Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972742237 | Other | TX | NPI |
| 3952038 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Cypress, TX
- NPI 1972742237
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.