Individual provider Active NPI

Shama Mukhles, OTR

  • Occupational Therapist
  • Sugar Land, TX
National Provider Identifier
1689328098
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122368 Issued in TX
Practice address
15314 Marlowe Grove Dr
Sugar Land, TX 77498-7567
Phone
(832) 359-6101
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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 122368 TX Primary

Addresses

Primary practice location

15314 Marlowe Grove Dr
Sugar Land, TX 77498-7567

Mailing address

15314 Marlowe Grove Dr
Sugar Land, TX 77498-7567
Phone (832) 359-6101

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1689328098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15314 MARLOWE GROVE DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987567",
            "telephone_number": "832-359-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15314 MARLOWE GROVE DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987567",
            "telephone_number": "832-359-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHLES",
        "first_name": "SHAMA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.