Elena Omi, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214738 Issued in TX

Practice address

15715 Knauff Ranch CT
Cypress, TX 77429-6129

Phone

(713) 992-9378

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1447897624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 KNAUFF RANCH CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296129",
            "telephone_number": "713-992-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 KNAUFF RANCH CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296129",
            "telephone_number": "713-992-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMI",
        "first_name": "ELENA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DRIVER LICENSE",
            "identifier": "23369843",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cypress",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15715 Knauff Ranch Ct",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774296129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rita Olotin
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• Ebenovbe Kenneth Omoruyi, NP
• Laya Omranian
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• Lilian I Onwuchekwa

• Occupational Therapy Assistant in Cypress, TX
• Providers in Cypress, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.