Lauren Kelley, COTA

Individual provider Active NPI Occupational Therapy Assistant · Humble, TX

NPI 1477033116 · NPPES record last updated Aug 21, 2018

Key facts

NPI
1477033116
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
211868 (TX)
Practice address
7840 FM 1960 Rd E Ste 401
Humble, TX 77346-2258
Phone
(210) 344-5437
Fax
(210) 340-1259
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
211868TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ability - All 4 Kids, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 211868 TX Yes

Addresses

Primary practice location

7840 FM 1960 Rd E Ste 401
Humble, TX 77346-2258

Mailing address

7840 FM 1960 Rd E Ste 401
Humble, TX 77346-2258
Phone (210) 344-5437

Other providers in Humble, TX

All providers in Humble, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.