Individual provider Active NPI

Mia Boessen, MOTR/L

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1467344580
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
347728 Issued in OR
Practice address
9610 Long Point Rd
Houston, TX 77055-4265
Phone
(183) 248-7987
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 347728 OR Primary

Addresses

Primary practice location

9610 Long Point Rd
Houston, TX 77055-4265

Mailing address

2100 S Gessner Rd Apt 1302
Houston, TX 77063-1134
Phone (573) 529-3343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916001351 TX Practitioner - Occupational Therapist in Private Practice 6406350297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9610 Long Point Rd
Suite 110
Houston, TX 77055-4231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
347728ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Pediatric Therapy LLC CurrentSince Aug 27, 2025 Accepting new patients

Locations

16310 Tomball Pkwy
Ste 1601
Houston, TX 77064
Phone (832) 487-9872

9610 Long Point Rd
Houston, TX 77055
Phone (832) 487-9872

9610 Long Point Rd
Ste 110
Houston, TX 77055
Phone (832) 487-9872

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1467344580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S GESSNER RD APT 1302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631134",
            "telephone_number": "573-529-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554265",
            "telephone_number": "183-248-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESSEN",
        "first_name": "MIA",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "347728",
            "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 Aug 29, 2025; 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.

Verify at the official NPI Registry.