Individual provider Active NPI

Teresa Ta

  • Occupational Therapy Assistant
  • Pearland, TX
National Provider Identifier
1669134151
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
217007 Issued in TX
Practice address
8603 Broadway St Ste 170
Pearland, TX 77584-8171
Phone
(281) 540-2001
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 217007 TX Primary

Addresses

Primary practice location

8603 Broadway St Ste 170
Pearland, TX 77584-8171

Mailing address

9762 Santa Monica Blvd
Houston, TX 77089-1225
Phone (832) 228-6858

Other practice location 1

17200 TX-249
Ste. 150
Houston, TX 77064
Phone (281) 664-6900

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
217007TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Health, Inc. PastSince Mar 24, 2010 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1669134151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9762 SANTA MONICA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891225",
            "telephone_number": "832-228-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 BROADWAY ST STE 170",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848171",
            "telephone_number": "281-540-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17200 TX-249",
            "address_2": "Ste. 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77064",
            "country_code": "US",
            "telephone_number": "281-664-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TA",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.