Individual provider Active NPI

Jordan Butler

  • Occupational Therapist
  • Conroe, TX
National Provider Identifier
1275276602
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122563 Issued in TX
Practice address
11133 I-45 S.
Suite 190
Conroe, TX 77302
Phone
(936) 494-0570
Fax
(936) 494-0571
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 122563 TX Primary

Addresses

Primary practice location

11133 I-45 S.
Suite 190
Conroe, TX 77302

Mailing address

11133 I-45 S.
Suite 190
Conroe, TX 77302
Phone (936) 494-0570

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@riggstherapy.com Direct

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

LicenseStateTypeSpecialty
122563TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Speech Therapy Services LLC Occupational Therapist CurrentSince Apr 17, 2022 Accepting new patients

Locations

11133 Interstate 45 S
Ste 190
Conroe, TX 77302
Phone (936) 494-0570

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1275276602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 I-45 S.",
            "address_2": "SUITE 190",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77302",
            "telephone_number": "936-494-0570",
            "fax_number": "936-494-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 I-45 S.",
            "address_2": "SUITE 190",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77302",
            "telephone_number": "936-494-0570",
            "fax_number": "936-494-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@riggstherapy.com",
            "affiliation": "N",
            "endpointDescription": "info@riggstherapy.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11133 I-45 S.",
            "address_2": "Suite 190",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.