Amber Thomas, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

215829 Issued in TX

Practice address

1620 Magnolia St
Liberty, TX 77575-3546

Phone

(832) 336-4433

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adults to Pediatrics Therapy LLC

  • Clinic/Center
  • Sunrise, FL
  • NPI 1114151362

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1750800355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12919 WHITTINGTON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774797",
            "telephone_number": "936-336-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MAGNOLIA ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775753546",
            "telephone_number": "832-336-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMBER",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750800355",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "RehabOptima",
            "affiliation": "N",
            "address_1": "1620 Magnolia St",
            "city": "Liberty",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775753546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Marie Stanley, LCDC
• Shelly Margaret States, P.A
• Tarkington I.S.D.
• Tarkington Isd
• Ruth Teague, RN, FNP
• Stacie Marie Thomas, PHYSICAL THERAPIST
• Elaine Tidwell
• Tri-County Behavioral Healthcare
• Tri-County Behavioral Healthcare
• Ughs Baytown Physician Services Inc.

• Occupational Therapy Assistant in Liberty, TX
• Providers in Liberty, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.