Active NPI
Andrea Nichole Dulworth, OTR
- Occupational Therapist
- Conroe, TX
National Provider Identifier
1366893943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113479
- Practice address
- 903 Longmire Rd
Conroe, TX 77304-1817 - Phone
- (281) 536-2650
- NPI assigned
- Jun 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 113479 | TX | Primary |
Addresses
Primary practice location
903 Longmire Rd
Conroe, TX 77304-1817
Mailing address
8331 Terra Valley LN
Tomball, TX 77375-5598
Phone (281) 536-2650
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113479 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1366893943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8331 TERRA VALLEY LN",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755598",
"telephone_number": "281-536-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 LONGMIRE RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773041817",
"telephone_number": "281-536-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULWORTH",
"first_name": "ANDREA",
"middle_name": "NICHOLE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-24",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113479",
"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 Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.