Individual provider Active NPI

Bernadette Ngono

  • Occupational Therapy Assistant
  • Dallas, TX
National Provider Identifier
1285369348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
217408 Issued in TX
Practice address
8 Medical Pkwy Ste 208
Dallas, TX 75234-7842
Phone
(972) 701-8181
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 217408 TX Primary

Addresses

Primary practice location

8 Medical Pkwy Ste 208
Dallas, TX 75234-7842

Mailing address

8 Medical Pkwy Ste 208
Dallas, TX 75234-7842
Phone (972) 701-8181

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
217408TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Luis Zamora, M.D., P.a. CurrentSince Jul 24, 2022 Accepting new patients

Locations

8 Medical Pkwy
Ste 208
Farmers Brnch, TX 75234
Phone (972) 247-5466

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285369348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY STE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347842",
            "telephone_number": "972-701-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY STE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347842",
            "telephone_number": "972-701-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGONO",
        "first_name": "BERNADETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.