Active NPI
Khiem Sam Ngo, OTR/L
- Occupational Therapist
- Sugar Land, TX
National Provider Identifier
1477815173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 017297-1
- Practice address
- 11353 Sugar Park LN
Sugar Land, TX 77478-1407 - Phone
- (917) 420-3565
- NPI assigned
- Jun 9, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 017297-1 | NY | Primary |
Addresses
Primary practice location
11353 Sugar Park LN
Sugar Land, TX 77478-1407
Mailing address
9222 Adobe Sky CT
Richmond, TX 77407-1791
Phone (917) 420-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017297-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1477815173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9222 ADOBE SKY CT",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774071791",
"telephone_number": "917-420-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11353 SUGAR PARK LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774781407",
"telephone_number": "917-420-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "KHIEM",
"middle_name": "SAM",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-09",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "017297-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.