Active NPI
Lydia Downs
- Occupational Therapy Assistant
- Atlanta, TX
National Provider Identifier
1326511346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 212303
- Practice address
- 1104 S William St
Atlanta, TX 75551-3246 - Phone
- (903) 796-0290
- NPI assigned
- Jan 3, 2019
- Last updated
- Jan 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 212303 | TX | Primary |
Addresses
Primary practice location
1104 S William St
Atlanta, TX 75551-3246
Mailing address
221 Private Road 1123
Maud, TX 75567
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
| License | State | Type | Specialty |
|---|---|---|---|
| 212303 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1326511346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 PRIVATE ROAD 1123",
"city": "MAUD",
"state": "TX",
"postal_code": "75567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 S WILLIAM ST",
"city": "ATLANTA",
"state": "TX",
"postal_code": "755513246",
"telephone_number": "903-796-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNS",
"first_name": "LYDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "212303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, TX
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- Ashlyn Kay Dodson
- Michael Nguyen Dong
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- East Texas Border Health Clinic (Genesis PrimeCare)
- Kelsey Elkins, PHARM.D.
- Ellington Memorial Clinic, LLP
- Stephen K Erlewine, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.