Jasmine Bady, OTR

Individual provider Active NPI Occupational Therapist · Sunnyvale, TX

NPI 1689285686 · NPPES record last updated Dec 4, 2024

Key facts

NPI
1689285686
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
125178 (TX)
Practice address
301 TC Lupton Blvd
Sunnyvale, TX 75182-6216
Phone
(469) 758-3456
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-20-114998TNMDBehavior Technician
125178TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC Past
since Dec 8, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 125178 TX Yes
Behavior Technician 106S00000X RBT-20-114998 TN

Addresses

Primary practice location

301 TC Lupton Blvd
Sunnyvale, TX 75182-6216

Mailing address

301 TC Lupton Blvd
Sunnyvale, TX 75182-6216
Phone (469) 758-3456

Other providers in Sunnyvale, TX

All providers in Sunnyvale, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.