Jeevanandam Ponnuswamy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111430 Issued in TX

Practice address

1510 N Plano Rd
Richardson, TX 75081-2429

Phone

(972) 234-4786

NPI assigned

Sep 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1801370515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CEDARBIRD TRL",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943863",
            "telephone_number": "972-835-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812429",
            "telephone_number": "972-234-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONNUSWAMY",
        "first_name": "JEEVANANDAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beau Dodd Polley
• Justin Kyler Pomeroy, D.C.
• Aimee D. Pompa, M.S.
• Justin Tai Pon, PHARMD
• Ana Liseth Ponciano, LMSW
• John A. Ponzo, M.D.
• Katelyn Emily Poojaroen, RBT
• Kasey Rogner Pool, OTR
• Poole Pediatrics, P.a.
• Julie D Poole, M.D.

• Occupational Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.