Active NPI
Debra Runyon Purvis, COTA
- Occupational Therapy Assistant
- League City, TX
National Provider Identifier
1700341013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 208304
- Practice address
- 2620 W Walker St
League City, TX 77573-6812 - Phone
- (281) 309-5400
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 208304 | TX | Primary |
Addresses
Primary practice location
2620 W Walker St
League City, TX 77573-6812
Mailing address
2024 Glencove Dr
Seabrook, TX 77586-3318
Phone (832) 647-5996
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 |
|---|---|---|---|
| 208304 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1700341013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 GLENCOVE DR",
"city": "SEABROOK",
"state": "TX",
"postal_code": "775863318",
"telephone_number": "832-647-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 W WALKER ST",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775736812",
"telephone_number": "281-309-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVIS",
"first_name": "DEBRA",
"middle_name": "RUNYON",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "208304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.