Active NPI
Charlene Valentine, OTR/L
- Occupational Therapist
- Ft Worth, TX
National Provider Identifier
1376941609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11497
- Practice address
- 5801 Bryant Irvin Rd
Ft Worth, TX 76132-4209 - Phone
- (817) 346-3030
- NPI assigned
- Dec 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 11497 | TX | Primary |
Addresses
Primary practice location
5801 Bryant Irvin Rd
Ft Worth, TX 76132-4209
Mailing address
800 Falls Creek CT
Burleson, TX 76028-7665
Phone (817) 888-2973
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 |
|---|---|---|---|
| 11497 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1376941609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FALLS CREEK CT",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287665",
"telephone_number": "817-888-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 BRYANT IRVIN RD",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761324209",
"telephone_number": "817-346-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "CHARLENE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "11497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.