Active NPI
Nicole D'Antonio
- Occupational Therapist
- Houston, TX
National Provider Identifier
1619671963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 123459
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 123459 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Children Care Therapy, LLC | Occupational Therapist | Current | 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.
-
- Speech-Language Pathologist
- Katy, TX
- NPI 1073298295
Occupational Therapist
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.