Active NPI
Teresa Ta
- Occupational Therapy Assistant
- Pearland, TX
National Provider Identifier
1669134151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 217007
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 217007 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Health, Inc. | 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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Houston, TX
- NPI 1841204898
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.