Mackenzie Nycole Printy, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

216398 Issued in TX

Practice address

10335 Belvamera Rd
Richmond, TX 77407-2625

Phone

(281) 310-1163

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avilo Inc

  • Occupational Therapist
  • Richmond, TX
  • NPI 1336495225
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1356957716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 EDENWOOD DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894100",
            "telephone_number": "281-323-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 BELVAMERA RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072625",
            "telephone_number": "281-310-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINTY",
        "first_name": "MACKENZIE",
        "middle_name": "NYCOLE",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "216398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Rheumatology PLLC
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• Primeage Health Services, Inc
• Primemed Pharmacy, LLC (Primemed Pharmacy)
• Primepeak Services LLC
• Proactive Nursing Services, PLLC
• Proactive Pediatric Nursing Services, PLLC
• Proactive Pediatric Nursing Services, PPLC (Proactive Nursing Service, PLLC)
• Procare Rehab Services LLC
• Professional Smiles PLLC

• Occupational Therapy Assistant in Richmond, TX
• Providers in Richmond, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.