Individual provider Active NPI

Karon Chapa Zinsmeister, OTR

  • Occupational Therapist
  • Woodway, TX
National Provider Identifier
1366260812
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124971 Issued in TX
Practice address
6704 Woodway Dr
Woodway, TX 76712-6145
Phone
(254) 892-4957
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 124971 TX Primary

Addresses

Primary practice location

6704 Woodway Dr
Woodway, TX 76712-6145

Mailing address

6704 Woodway Dr
Woodway, TX 76712-6145

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003314 TX Practitioner - Occupational Therapist in Private Practice 1951834241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compleo Physical Therapy and Wellness LLCGroup PAC ID 2567867617, 7 clinicians

Practice addresses (Care Compare)

6704 Woodway Dr
Woodway, TX 76712-6145
Phone (254) 892-4957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124971TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compleo Physical Therapy & Wellness LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

6704 Woodway Dr
Woodway, TX 76712
Phone (254) 366-3662

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1366260812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 WOODWAY DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 WOODWAY DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126145",
            "telephone_number": "254-892-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINSMEISTER",
        "first_name": "KARON",
        "middle_name": "CHAPA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.