Individual provider Active NPI

Vincent Raymont Quinney, OTR

  • Occupational Therapist
  • Pasadena, TX
National Provider Identifier
1558837435
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
111507 Issued in TX
Practice address
4006 Vista Rd
Pasadena, TX 77504-2112
Phone
(713) 943-1592
Fax
(713) 943-2770
NPI assigned
Oct 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 111507 TX Primary

Addresses

Primary practice location

4006 Vista Rd
Pasadena, TX 77504-2112

Mailing address

2919 Auburn Creek LN
League City, TX 77573-2195
Phone (318) 792-2657

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

LicenseStateTypeSpecialty
111507TXMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1558837435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 AUBURN CREEK LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732195",
            "telephone_number": "318-792-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042112",
            "telephone_number": "713-943-1592",
            "fax_number": "713-943-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINNEY",
        "first_name": "VINCENT",
        "middle_name": "RAYMONT",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.