Individual provider Active NPI

Robert E West, O.T.R.

  • Occupational Therapist
  • Dallas, TX
National Provider Identifier
1669497673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110043 Issued in TX
Practice address
10300 N Central Expy
Dallas, TX 75231-8600
Phone
(214) 370-0404
Fax
(214) 370-9880
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 110043 TX Primary

Addresses

Primary practice location

10300 N Central Expy
Dallas, TX 75231-8600

Mailing address

8005 Twin Oaks Dr
MC Kinney, TX 75070-8535
Phone (214) 504-9267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170516000421 TX Practitioner - Occupational Therapist in Private Practice 1052698313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Source 1 Medical IncGroup PAC ID 0840663142, 2 clinicians

Practice addresses (Care Compare)

8080 Independence Pkwy
Suite 110a
Plano, TX 75025-4000
Phone (972) 801-2190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110043TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Source 1 Medical Inc Occupational Therapist CurrentSince Jan 1, 2023 Accepting new patients
JTJ Marketing Past Accepting new patients

Locations

5601 Bridge St
Ste 500
Ft Worth, TX 76112
Phone (817) 457-9850

5425 W Spring Creek Pkwy
Ste 270
Plano, TX 75024
Phone (972) 656-0431

8080 Independence Pkwy
Ste 110
Plano, TX 75025
Phone (469) 658-0100

8080 Independence Pkwy
Ste 110A
Plano, TX 75025
Phone (469) 658-0100

Organizations & group practices 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669497673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 TWIN OAKS DR",
            "city": "MC KINNEY",
            "state": "TX",
            "postal_code": "750708535",
            "telephone_number": "214-504-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318600",
            "telephone_number": "214-370-0404",
            "fax_number": "214-370-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.