Individual provider Active NPI

Emily Ann Jirkovsky, OTR/L, MS

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1780224253
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120501 Issued in TX
Practice address
8023 Oakwood Forest Dr
Houston, TX 77040-4431
Phone
(713) 858-7071
NPI assigned
Jan 13, 2020
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 120501 TX Primary
Pediatric Occupational Therapist 225XP0200X 120501 TX

Addresses

Primary practice location

8023 Oakwood Forest Dr
Houston, TX 77040-4431

Mailing address

8023 Oakwood Forest Dr
Houston, TX 77040-4431

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Hometown Physical Therapy, LLC Occupational Therapist CurrentSince Jan 4, 2021 Accepting new patients
Solaris Pediatric Therapy Occupational Therapist PastSince Jan 1, 2020 Accepting new patients

Locations

203 N Main St
Hallettsville, TX 77964
Phone (361) 798-3500

105 Boehm Dr
Shiner, TX 77984
Phone (361) 594-8301

206 US Highway 77A S
Yoakum, TX 77995
Phone (361) 407-5091

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, 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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1780224253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 OAKWOOD FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770404431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 OAKWOOD FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770404431",
            "telephone_number": "713-858-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRKOVSKY",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120501",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "120501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.