Individual provider Active NPI

Bria Mitchell-Gillespie, OTD, OTR/L

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1275145385
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121081 Issued in TX
Practice address
6701 Pinemont Dr Ste 200
Houston, TX 77092-3131
Phone
(832) 330-6826
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 121081 TX Primary

Addresses

Primary practice location

6701 Pinemont Dr Ste 200
Houston, TX 77092-3131

Mailing address

6701 Pinemont Dr Ste 200
Houston, TX 77092-3131
Phone (832) 330-6826

Other identifiers 1

IdentifierTypeStateIssuer
121081MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.raintreeinc.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
024791NYMDSpeech-Language Pathologist
121081TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1275145385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PINEMONT DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770923131",
            "telephone_number": "832-330-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 PINEMONT DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770923131",
            "telephone_number": "832-330-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-GILLESPIE",
        "first_name": "BRIA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121081",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.raintreeinc.com",
            "affiliation": "N",
            "address_1": "6701 Pinemont Dr Ste 200",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770923131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.