Active NPI
Lara Gimenez Enario, OTR
- Occupational Therapist
- The Woodlands, TX
National Provider Identifier
1730391038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1897
- Practice address
- 5665 Creekside Forest Dr
The Woodlands, TX 77389 - Phone
- (281) 255-8180
- NPI assigned
- May 7, 2007
- Last updated
- Aug 10, 2018
- 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 | OTR1897 | AR | Primary |
Addresses
Primary practice location
5665 Creekside Forest Dr
The Woodlands, TX 77389
Mailing address
5665 Creekside Forest Dr
The Woodlands, TX 77389-4969
Phone (281) 255-8180
Other practice location 1
954 Skyline Dr
Suite 100
Searcy, AR 72143-6534
Phone (501) 268-5008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162457721 | Medicaid | AR |
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 |
|---|---|---|---|
| OTR1897 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Therapy Inc | Occupational Therapist | 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": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1730391038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 CREEKSIDE FOREST DR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773894969",
"telephone_number": "281-255-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 CREEKSIDE FOREST DR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77389",
"telephone_number": "281-255-8180"
}
],
"practiceLocations": [
{
"address_1": "954 Skyline Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Searcy",
"state": "AR",
"postal_code": "721436534",
"country_code": "US",
"telephone_number": "501-268-5008",
"fax_number": "501-268-5025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENARIO",
"first_name": "LARA",
"middle_name": "GIMENEZ",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162457721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.