Active NPI
Rebecca Enayati, OTR
- Pediatric Occupational Therapist
- Austin, TX
National Provider Identifier
1245616218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 117216
- Practice address
- 9901 N Capital of Texas Hwy
Austin, TX 78759 - Phone
- (512) 887-2126
- NPI assigned
- Jul 31, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 117216 | TX | Primary |
Addresses
Primary practice location
9901 N Capital of Texas Hwy
Austin, TX 78759
Mailing address
9901 N Capital of Texas Hwy
Austin, TX 78759-5852
Phone (512) 887-2126
Other practice location 1
1102 Winkler Ave
Killeen, TX 76542-6249
Phone (254) 634-8505
Other practice location 2
9001 N Capital of Texas Hwy
Austin, TX 78759
Phone (512) 887-2126
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 |
|---|---|---|---|
| 117216 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barr Physical Therapy, P.C. | Pediatrics | Past | Accepting new patients |
| San Luis Walk-in Clinic, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba KidZ TherapEZE
- Pediatric Physical Therapist
- Killeen, TX
- NPI 1306927553
Pediatrics
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1003991506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1245616218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 N CAPITAL OF TEXAS HWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595852",
"telephone_number": "512-887-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 N CAPITAL OF TEXAS HWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-887-2126"
}
],
"practiceLocations": [
{
"address_1": "1102 Winkler Ave",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "765426249",
"country_code": "US",
"telephone_number": "254-634-8505",
"fax_number": "254-221-7710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9001 N Capital of Texas Hwy",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78759",
"country_code": "US",
"telephone_number": "512-887-2126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENAYATI",
"first_name": "REBECCA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "117216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Enamel Dentistry Parmer Park, PLLC
- Enamel Dentistry Saltillo, PLLC
- Enamel Dentistry South Lamar PLLC
- Enamel Sleep, PLLC
- Nicole Enas, PT, DPT
- Grant Encalade, DDS
- Abseret Encarnacion
- Jayne Marie Encarnacion, RD, LD
- Alicia Enciso Litschi, PH.D.
- Encompass Health Rehabilitation Hospital of Austin, LLC (Encompass Health Rehabilitation Hospital of Austin)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.