Active NPI
Jessica Roach, OTR
- Occupational Therapist
- Houston, TX
National Provider Identifier
1790049997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113526
- Practice address
- 1120 Business Center Dr
Houston, TX 77043-2735 - Phone
- (713) 932-2700
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 113526 | TX | Primary |
| Occupational Therapist | 225X00000X | 0119005681 | VA |
Addresses
Primary practice location
1120 Business Center Dr
Houston, TX 77043-2735
Mailing address
616 Memorial Heights Dr
#11304
Houston, TX 77007-5985
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 |
|---|---|---|---|
| 113526 | TX | MD | Occupational Therapist |
| 0119005681 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1790049997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 MEMORIAL HEIGHTS DR",
"address_2": "#11304",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 BUSINESS CENTER DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770432735",
"telephone_number": "713-932-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "JESSICA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113526",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005681",
"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 Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.