Active NPI
Demetria Rizzo
- Occupational Therapist
- Houston, TX
National Provider Identifier
1467014498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 123778
- Practice address
- 14103 Carolcrest Cir
Houston, TX 77079-6803 - Phone
- (914) 387-8625
- NPI assigned
- Jun 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 123778 | TX | Primary |
Addresses
Primary practice location
14103 Carolcrest Cir
Houston, TX 77079-6803
Mailing address
14103 Carolcrest Cir
Houston, TX 77079-6803
Phone (914) 387-8625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241018000837 | TX | Practitioner - Occupational Therapist in Private Practice | 2365974086 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
888 W Sam Houston Pkwy S
Suite 100
Houston, TX 77042-1917
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123778 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1467014498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14103 CAROLCREST CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770796803",
"telephone_number": "914-387-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14103 CAROLCREST CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770796803",
"telephone_number": "914-387-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "DEMETRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-29",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "123778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.