Individual provider Active NPI

Dixie Irwin, M.O.T., O.T.R./L

  • Pediatric Occupational Therapist
  • Lewisville, TX
National Provider Identifier
1437560471
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
117826 Issued in TX
Practice address
1301 Justin Rd Ste 206
Lewisville, TX 75077-2150
Phone
(972) 317-7775
Fax
(972) 317-6356
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4921 TN
Pediatric Occupational Therapist 225XP0200X 117826 TX Primary

Addresses

Primary practice location

1301 Justin Rd Ste 206
Lewisville, TX 75077-2150

Mailing address

1301 Justin Road
Suite 206
Lewisville, TX 75077
Phone (972) 317-7775

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
4921TNMDPhysical Therapy Assistant
117826TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Services Unlimited, Inc. Pediatrics PastSince Jul 24, 2022 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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437560471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 JUSTIN ROAD",
            "address_2": "SUITE 206",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "972-317-7775",
            "fax_number": "972-317-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 JUSTIN RD STE 206",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772150",
            "telephone_number": "972-317-7775",
            "fax_number": "972-317-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "DIXIE",
        "name_prefix": "Mrs.",
        "credential": "M.O.T., O.T.R./L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4921",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "117826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.