Individual provider Active NPI

Lauren Theresa Devall, OTA/L

  • Occupational Therapy Assistant
  • West Lake Hills, TX
National Provider Identifier
1740804608
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
214694 Issued in TX
Practice address
5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552
Phone
(512) 284-8964
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 214694 TX Primary

Addresses

Primary practice location

5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552

Mailing address

5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552
Phone (512) 284-8964

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
214694TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mlee SLP LLC CurrentSince Jun 5, 2022 Accepting new patients
Mlee-SLP, LLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

5000 Bee Caves Rd
Ste 206
West Lake Hills, TX 78746
Phone (512) 284-8964

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1740804608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465552",
            "telephone_number": "512-284-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465552",
            "telephone_number": "512-284-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALL",
        "first_name": "LAUREN",
        "middle_name": "THERESA",
        "credential": "OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.