Individual provider Active NPI

Vicki W Mueller, PT

  • Occupational Therapy Assistant
  • Columbus, TX
National Provider Identifier
1780713164
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
103590 Issued in TX
Practice address
109 Shult Dr
Suite 206
Columbus, TX 78934-3009
Phone
(979) 732-8280
Fax
(979) 732-9740
NPI assigned
Mar 3, 2007
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 103590 TX Primary

Addresses

Primary practice location

109 Shult Dr
Suite 206
Columbus, TX 78934-3009

Mailing address

109 Shult Dr
Suite 206
Columbus, TX 78934-3009
Phone (979) 732-8280

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

State licenses

LicenseStateTypeSpecialty
103590TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Colony Rehab, LLC Past Accepting new patients
Barbara Gates Mitchem Past Accepting new patients
SDS Physical Therapy LP Past Accepting new patients

Organizations & group practices 3

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": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1780713164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SHULT DR",
            "address_2": "SUITE 206",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343009",
            "telephone_number": "979-732-8280",
            "fax_number": "979-732-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SHULT DR",
            "address_2": "SUITE 206",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343009",
            "telephone_number": "979-732-8280",
            "fax_number": "979-732-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "VICKI",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "103590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.