Active NPI
Lisa Kettelkamp Brown, O.T.R.,CHT
- Hand Occupational Therapist
- Houston, TX
National Provider Identifier
1508948662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 105581
- Practice address
- 17270 Red Oak Dr
Suite 200
Houston, TX 77090-2632 - Phone
- (281) 440-6960
- Fax
- (281) 440-6205
- NPI assigned
- Oct 19, 2006
- Last updated
- Apr 13, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 105581 | TX | Primary |
Addresses
Primary practice location
17270 Red Oak Dr
Suite 200
Houston, TX 77090-2632
Mailing address
PO Box 4356
Dept 665
Houston, TX 77210-4356
Phone (281) 440-6960
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sadler Clinic Association | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1508948662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4356",
"address_2": "DEPT 665",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104356",
"telephone_number": "281-440-6960",
"fax_number": "281-880-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17270 RED OAK DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902632",
"telephone_number": "281-440-6960",
"fax_number": "281-440-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LISA",
"middle_name": "KETTELKAMP",
"name_prefix": "Mrs.",
"credential": "O.T.R.,CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "105581",
"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 Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.