Individual provider Active NPI

Antonette Tatunay Calicut

  • Occupational Therapist
  • Humble, TX
National Provider Identifier
1457037137
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
115834 Issued in TX
Practice address
17703 Sequoia Kings Dr
Humble, TX 77346-3993
Phone
(559) 308-3805
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 115834 TX Primary

Addresses

Primary practice location

17703 Sequoia Kings Dr
Humble, TX 77346-3993

Mailing address

17703 Sequoia Kings Dr
Humble, TX 77346-3993
Phone (559) 308-3805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807003772 TX Practitioner - Occupational Therapist in Private Practice 7810358884 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115834TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group Inc. CurrentSince Jul 7, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Oct 31, 2024 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Oct 31, 2024 Accepting new patients
The Weston Group Inc. CurrentSince Jul 7, 2023 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1501 W Campbell Rd
Garland, TX 75044
Phone (469) 609-9153

2760 W Walker St
League City, TX 77573
Phone (281) 967-7973

2022 State Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324

Organizations & group practices 4

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1457037137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17703 SEQUOIA KINGS DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463993",
            "telephone_number": "559-308-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17703 SEQUOIA KINGS DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463993",
            "telephone_number": "559-308-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICUT",
        "first_name": "ANTONETTE",
        "middle_name": "TATUNAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.