Individual provider Active NPI

Emily Vandenbush, MOT, OTR/L

  • Occupational Therapist
  • Weatherford, TX
National Provider Identifier
1609541325
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121288 Issued in TX
Practice address
1429 Clear Lake Rd Ste 200
Weatherford, TX 76086-8801
Phone
(682) 231-1720
NPI assigned
Aug 13, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 121288 TX Primary

Addresses

Primary practice location

1429 Clear Lake Rd Ste 200
Weatherford, TX 76086-8801

Mailing address

1111 Elizabeth Blvd
Granbury, TX 76048-2311
Phone (262) 951-0550

Other practice location 1

709 Paluxy Rd
Granbury, TX 76048-2355
Phone (682) 500-1958

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
121288TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talking Tadpoles, LLC Occupational Therapist PastSince Aug 15, 2021 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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1609541325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ELIZABETH BLVD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482311",
            "telephone_number": "262-951-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 CLEAR LAKE RD STE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760868801",
            "telephone_number": "682-231-1720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Paluxy Rd",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760482355",
            "country_code": "US",
            "telephone_number": "682-500-1958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENBUSH",
        "first_name": "EMILY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.