Individual provider Active NPI

Silvia Raquel Baroutjian, CODA

  • Occupational Therapy Assistant
  • Conroe, TX
National Provider Identifier
1336911486
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
218125 Issued in TX
Practice address
1999 Lakes of Wedgewood Dr
Conroe, TX 77304-3252
Phone
(936) 463-6439
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 218125 TX Primary

Addresses

Primary practice location

1999 Lakes of Wedgewood Dr
Conroe, TX 77304-3252

Mailing address

11420 W. Kristina Cir
Montgomery, TX 77316
Phone (310) 927-7470

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
218125TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC PastSince Oct 29, 2023 Accepting new patients

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1336911486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 W. KRISTINA CIR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77316",
            "telephone_number": "310-927-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 LAKES OF WEDGEWOOD DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043252",
            "telephone_number": "936-463-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROUTJIAN",
        "first_name": "SILVIA",
        "middle_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "CODA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "218125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 23, 2023; 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.