Active NPI
Lydia Abigael Indimuli, OT
- Physical Rehabilitation Occupational Therapist
- Houston, TX
National Provider Identifier
1366950974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 112683
- Practice address
- 10818 Burkes Garden Dr
Houston, TX 77065-4242 - Phone
- (832) 419-4955
- Fax
- (832) 688-8832
- NPI assigned
- Jan 17, 2018
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 112683 | TX | Primary |
Addresses
Primary practice location
10818 Burkes Garden Dr
Houston, TX 77065-4242
Mailing address
10818 Burkes Garden Dr
Houston, TX 77065-4242
Phone (832) 419-4955
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112683 | TX | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1366950974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10818 BURKES GARDEN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654242",
"telephone_number": "832-419-4955",
"fax_number": "832-688-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10818 BURKES GARDEN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654242",
"telephone_number": "832-419-4955",
"fax_number": "832-688-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDIMULI",
"first_name": "LYDIA",
"middle_name": "ABIGAEL",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TX",
"license": "112683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Indian Doctors Club Charitable Foundation Inc
- Tiffany Bridis Indiero, MS, CCC/SLP
- Indigo Homehealth Care Services, Inc.
- Indigo Hospice and Palliative Care LLC
- Indigo Neurodiagnostics LLC
- Indira Healthcare Services Inc
- Individual Voice Associates PLLC
- Individualized Intervention ABA
- Santhiyaa Shriya Indraanei, LPC
- Gitanjali Indramohan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.