Active NPI
Joni N Peterson, OT
- Occupational Therapist
- Houston, TX
National Provider Identifier
1669583019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 100638
- Practice address
- 11902 Resource Pkwy
Houston, TX 77089 - Phone
- (281) 992-6802
- NPI assigned
- Aug 31, 2006
- 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 | 100638 | TX | Primary |
Addresses
Primary practice location
11902 Resource Pkwy
Houston, TX 77089
Mailing address
2650 Butler Rd
League City, TX 77573-6752
Phone (281) 455-3684
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 |
|---|---|---|---|
| 100638 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1669583019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 BUTLER RD",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775736752",
"telephone_number": "281-455-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11902 RESOURCE PKWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77089",
"telephone_number": "281-992-6802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JONI",
"middle_name": "N",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "100638",
"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 Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.