Active NPI
Lina C Ryan, OTR/L
- Occupational Therapist
- Baytown, TX
National Provider Identifier
1487847729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 117734
- Practice address
- 901 West Baker Road
Baytown, TX 77521 - Phone
- (281) 427-4373
- NPI assigned
- Aug 21, 2007
- 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 | 117734 | TX | Primary |
Addresses
Primary practice location
901 West Baker Road
Baytown, TX 77521
Mailing address
8003 17TH Green Dr
Humble, TX 77346-1748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1343 | Other | WV | LICENSE NUMBER |
Other names 1
- Lina C Johnson
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1487847729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 17TH GREEN DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773461748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WEST BAKER ROAD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "77521",
"telephone_number": "281-427-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "LINA",
"middle_name": "C",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1343",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINA",
"last_name": "JOHNSON",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.