Individual provider Active NPI

Nicole D'Antonio

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1619671963
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
123459 Issued in TX
Practice address
19255 Park Row Ste 105
Houston, TX 77084-7310
Phone
(346) 333-2794
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 123459 TX Primary

Addresses

Primary practice location

19255 Park Row Ste 105
Houston, TX 77084-7310

Mailing address

3735 Oyster Tree Dr
Houston, TX 77084-6122

Other practice location 1

26077 Nelson Way Ste 303
Katy, TX 77494-6677
Phone (346) 299-1299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130000655 TX Practitioner - Occupational Therapist in Private Practice 1052899150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6819 Hwy Blvd
Suite 620
Katy, TX 77494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123459TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Children Care Therapy, LLC Occupational Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

26077 Nelson Way
Ste 303
Katy, TX 77494
Phone (346) 299-1299

6819 Highway Blvd
Ste 620
Katy, TX 77494
Phone (346) 299-1299

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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1619671963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 OYSTER TREE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19255 PARK ROW STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847310",
            "telephone_number": "346-333-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26077 Nelson Way Ste 303",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946677",
            "country_code": "US",
            "telephone_number": "346-299-1299",
            "fax_number": "346-299-1958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ANTONIO",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123459",
            "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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.