Active NPI
Emily Vandenbush, MOT, OTR/L
- Occupational Therapist
- Weatherford, TX
National Provider Identifier
1609541325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 121288
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 121288 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talking Tadpoles, LLC | Occupational Therapist | 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": "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.