Organization Active NPI

Libra OT PLLC

  • Occupational Medicine Clinic/Center
  • Plano, TX
National Provider Identifier
1306493515
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
LIBRA OT PLLC
Practice address
3105 W 15TH St Ste a-3
Plano, TX 75075-7700
Phone
(347) 405-0000
NPI assigned
Aug 22, 2019
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Inga Krips, OTR/LNPI 1730445529
Title
President
Phone
(347) 405-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

3105 W 15TH St Ste a-3
Plano, TX 75075-7700

Mailing address

1114 Lamplight Way
Allen, TX 75013-5608
Phone (347) 405-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029000800 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8123350949 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1306493515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 LAMPLIGHT WAY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135608",
            "telephone_number": "347-405-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W 15TH ST STE A-3",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757700",
            "telephone_number": "347-405-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRA OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIPS",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-405-0000",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.