Individual provider Active NPI

Elizabeth Clary, OTD

  • Pediatric Occupational Therapist
  • Sugar Land, TX
National Provider Identifier
1619542511
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
118945 Issued in TX
Practice address
15510 Lexington Blvd Ste A2
Sugar Land, TX 77478-4393
Phone
(281) 242-1117
Fax
(281) 242-0474
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 118945 TX Primary

Addresses

Primary practice location

15510 Lexington Blvd Ste A2
Sugar Land, TX 77478-4393

Mailing address

PO Box 2202
Boerne, TX 78006-3602

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lizclary@speechandmotiontherapy.com Direct

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
118945TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Motion Therapy PastSince Jun 22, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lizclary@speechandmotiontherapy.com

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1619542511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2202",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 LEXINGTON BLVD STE A2",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784393",
            "telephone_number": "281-242-1117",
            "fax_number": "281-242-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "ELIZABETH",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "118945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lizclary@speechandmotiontherapy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15510 Lexington Blvd Ste A2",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774784393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.