Active NPI
Laura Anne Poole, MS, OTR/L
- Pediatric Occupational Therapist
- Austin, TX
National Provider Identifier
1801256284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 353930
- Practice address
- 9101 Burnet Rd Ste 103
Austin, TX 78758-5260 - Phone
- (512) 248-2422
- Fax
- (512) 248-2354
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 353930 | TX | Primary |
Addresses
Primary practice location
9101 Burnet Rd Ste 103
Austin, TX 78758-5260
Mailing address
9101 Burnet Rd Ste 103
Austin, TX 78758-5260
Phone (512) 248-2422
Other practice location 1
9901 N Capital Of Texas Hwy
Suite 250
Austin, TX 78759-5852
Phone (512) 887-2126
Other names 1
- Laura Anne Flink
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353930 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Leap LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Austin, TX
- NPI 1659670842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550275200000",
"number": "1801256284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 BURNET RD STE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585260",
"telephone_number": "512-248-2422",
"fax_number": "512-248-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 BURNET RD STE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585260",
"telephone_number": "512-248-2422",
"fax_number": "512-248-2354"
}
],
"practiceLocations": [
{
"address_1": "9901 N Capital Of Texas Hwy",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787595852",
"country_code": "US",
"telephone_number": "512-887-2126",
"fax_number": "512-949-5027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POOLE",
"first_name": "LAURA",
"middle_name": "ANNE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2019-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "353930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "FLINK",
"middle_name": "ANNE",
"credential": "MS, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.