Individual provider Active NPI

Lynnette Molkentin, OTR/L

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1578722799
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102166 Issued in TX
Practice address
12605 East Fwy
Suite 212
Houston, TX 77015-5625
Phone
(713) 453-0400
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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 102166 TX Primary

Addresses

Primary practice location

12605 East Fwy
Suite 212
Houston, TX 77015-5625

Mailing address

12605 East Fwy
Suite 212
Houston, TX 77015-5625
Phone (713) 453-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000832 TX Practitioner - Occupational Therapist in Private Practice 8426123522 Practice locations: Tyler, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102166TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helling Children'S Center LP 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1578722799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 EAST FWY",
            "address_2": "SUITE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155625",
            "telephone_number": "713-453-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 EAST FWY",
            "address_2": "SUITE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155625",
            "telephone_number": "713-453-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLKENTIN",
        "first_name": "LYNNETTE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102166",
            "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 Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.