Individual provider Active NPI

Mary Hoffman, OTRL

  • Occupational Therapist
  • Cypress, TX
National Provider Identifier
1811069131
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101666 Issued in TX
Practice address
12619 Adams Run Dr
Cypress, TX 77429-3747
Phone
(281) 536-2145
Fax
(281) 721-5968
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 101666 TX Primary

Addresses

Primary practice location

12619 Adams Run Dr
Cypress, TX 77429-3747

Mailing address

12619 Adams Run Dr
Cypress, TX 77429-3747
Phone (281) 536-2145

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

LicenseStateTypeSpecialty
101666TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
113015 Therapy, PLLC Past Accepting new patients
Mary Hoffman, Otr, LLC Occupational Therapist PastSince Jan 10, 2021 Accepting new patients
Pediatric Therapy Center Occupational Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1811069131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619 ADAMS RUN DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293747",
            "telephone_number": "281-536-2145",
            "fax_number": "281-721-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12619 ADAMS RUN DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293747",
            "telephone_number": "281-536-2145",
            "fax_number": "281-721-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MARY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "101666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.