Organization Active NPI

Blossom OT LLC

  • Pediatric Occupational Therapist
  • Houston, TX
National Provider Identifier
1295490803
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
BLOSSOM OT LLC
Practice address
2 Chelsea Blvd
Houston, TX 77006-6202
Phone
(713) 807-1131
Fax
(713) 807-1141
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Miss Amy Mahabir
Title
Occupational Therapist
Phone
(713) 807-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

2 Chelsea Blvd
Houston, TX 77006-6202

Mailing address

2 Chelsea Blvd
Houston, TX 77006-6202
Phone (713) 807-1131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1295490803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHELSEA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066202",
            "telephone_number": "713-807-1131",
            "fax_number": "713-807-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHELSEA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066202",
            "telephone_number": "713-807-1131",
            "fax_number": "713-807-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "MAHABIR",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "713-807-1131",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 10, 2021; 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.