Stephanie Romo Jenkins, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102032 Issued in TX

Practice address

203 Blossom St
Webster, TX 77598-4203

Phone

(281) 488-0436

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Distinct Abilities Children'S Therapy, LLCP

  • Pediatric Occupational Therapist
  • Webster, TX
  • NPI 1831845254

  Pediatrics

  NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1366526832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 RAVENNA CT",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462261",
            "telephone_number": "713-203-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984203",
            "telephone_number": "281-488-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2564 Ravenna Ct",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775462261",
            "country_code": "US",
            "telephone_number": "713-203-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "STEPHANIE",
        "middle_name": "ROMO",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "102032",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Jay, PTA
• JD United, PA
• Kayla Denay Jefferson, RBT
• Bryce Ethan Jeffrey
• Maheswary Jegatheswaran, M.D.
• Keith Norman Jensen, MD
• Rahaf Jereisat, M.D.
• Jeromy T Hackney, MD, PA
• Omar Mohamed Jeroudi, MD
• Ruth Candy Diomampo Jetty, APRN, FNP-C

• All providers in Webster, TX
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.