Jan Myong
Individual provider Active NPI Occupational Therapist · Allen, TX
NPI 1487064622 · NPPES record last updated Apr 28, 2014
Key facts
- NPI
- 1487064622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 113770 (TX)
- Practice address
- 800 N Watters Rd Suite 150
Allen, TX 75013 - Phone
- (469) 675-3153
- Fax
- (469) 675-3154
- NPI assigned
- Apr 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cutting Edge Pediatric Therapy Houston, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 113770 | TX | Yes |
| Pediatric Occupational Therapist | 225XP0200X | 113770 | TX |
Addresses
Primary practice location
800 N Watters Rd Suite 150
Allen, TX 75013
Mailing address
800 N Watters Rd Suite 150
Allen, TX 75013
Phone (469) 675-3153
Other providers in Allen, TX
- Chelsea Musa
- Michelle Samia Musallam
- Irene Mwangi
- Andrea Myatt
- Amanda Marie Myers
- Shila Naem
- Hayatt Nafal
- Mikayla Layne Nairn
- Julie Delene Najarro
- Tariq I Nakhooda
All providers in Allen, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.