Individual provider Active NPI

Maria Selena Cruz Chavez, OTR/L

  • Occupational Therapist
  • Tomball, TX
National Provider Identifier
1679037345
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
112430 Issued in TX
Practice address
11830 Northpointe Blvd
Tomball, TX 77377-5536
Phone
(281) 205-9453
Fax
(281) 516-9185
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 112430 TX Primary

Addresses

Primary practice location

11830 Northpointe Blvd
Tomball, TX 77377-5536

Mailing address

11623 Brentcross Dr
Tomball, TX 77377-1180
Phone (936) 229-7833

Other identifiers 1

IdentifierTypeStateIssuer
112430OtherTXTEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS

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
112430TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1679037345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 BRENTCROSS DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773771180",
            "telephone_number": "936-229-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 NORTHPOINTE BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775536",
            "telephone_number": "281-205-9453",
            "fax_number": "281-516-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MARIA SELENA",
        "middle_name": "CRUZ",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "112430",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.