Active NPI
Ronese Janae Wills, MOT
- Occupational Therapist
- Pasadena, TX
National Provider Identifier
1679020960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 305333
- Practice address
- 3801 Vista Rd
Suite 200
Pasadena, TX 77504-2159 - Phone
- (713) 910-5437
- NPI assigned
- Sep 5, 2016
- Last updated
- Sep 5, 2016
- 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 | 305333 | TX | Primary |
Addresses
Primary practice location
3801 Vista Rd
Suite 200
Pasadena, TX 77504-2159
Mailing address
3801 Vista Rd
Suite 200
Pasadena, TX 77504-2159
Phone (713) 910-5437
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 |
|---|---|---|---|
| 305333 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids DC, LLC | 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, 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": "1473033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473033600000",
"number": "1679020960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 VISTA RD",
"address_2": "SUITE 200",
"city": "PASADENA",
"state": "TX",
"postal_code": "775042159",
"telephone_number": "713-910-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 VISTA RD",
"address_2": "SUITE 200",
"city": "PASADENA",
"state": "TX",
"postal_code": "775042159",
"telephone_number": "713-910-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "RONESE",
"middle_name": "JANAE",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-05",
"last_updated": "2016-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "305333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.