NPIMap

Organization Active NPI

Industrial Med

  • Occupational Therapist
  • Arlington, TX
National Provider Identifier
1386865608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
NA Issued in TX
Legal business name
INDUSTRIAL MED
Practice address
2420 E Randol Mill Rd
Arlington, TX 76011-6335
Phone
(817) 394-1010
Fax
(817) 394-1017
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stella Hannah
Title
Director
Phone
(817) 394-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X NA TX Primary

Addresses

Primary practice location

2420 E Randol Mill Rd
Arlington, TX 76011-6335

Mailing address

2420 E Randol Mill Rd
Arlington, TX 76011-6335
Phone (817) 394-1010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386865608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 E RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116335",
            "telephone_number": "817-394-1010",
            "fax_number": "817-394-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 E RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116335",
            "telephone_number": "817-394-1010",
            "fax_number": "817-394-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-394-1010"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.