Individual provider Active NPI

Anna Chmiel, OTR, MOT

  • Occupational Therapist
  • Round Rock, TX
National Provider Identifier
1407113244
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114620 Issued in TX
Practice address
4010 Sandy Brook Dr Ste 201
Round Rock, TX 78665-1518
Phone
(512) 388-8904
Fax
(512) 287-4214
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 114620 TX Primary

Addresses

Primary practice location

4010 Sandy Brook Dr Ste 201
Round Rock, TX 78665-1518

Mailing address

4010 Sandy Brook Dr Ste 201
Round Rock, TX 78665-1518
Phone (512) 388-8904

Other identifiers 1

IdentifierTypeStateIssuer
324555701MedicaidTX

Other names 1

  • Anna Smith Former name

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

LicenseStateTypeSpecialty
114620TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mighty Kids Therapy Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1407113244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651518",
            "telephone_number": "512-388-8904",
            "fax_number": "512-287-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651518",
            "telephone_number": "512-388-8904",
            "fax_number": "512-287-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIEL",
        "first_name": "ANNA",
        "credential": "OTR, MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324555701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SMITH",
            "credential": "MOT, OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.