Individual provider Active NPI

Vanessa Halter, OTR/L

  • Occupational Therapist
  • Wichita Falls, TX
National Provider Identifier
1811489552
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114850 Issued in TX
Practice address
1106 8TH St Ste a
Wichita Falls, TX 76301-2324
Phone
(513) 404-6370
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 114850 TX Primary

Addresses

Primary practice location

1106 8TH St Ste a
Wichita Falls, TX 76301-2324

Mailing address

5100 Stone Lake Dr
Wichita Falls, TX 76310-8017

Other practice location 1

5100 Stone Lake Dr
Wichita Falls, TX 76310-8017
Phone (513) 404-6370

Other names 1

  • Vanessa Bricker Former name

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
114850TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative and Meaningful Play C.a.M.P. Therapy Center Occupational Therapist CurrentSince May 24, 2020 Accepting new patients

Locations

1106 8th St
Ste A
Wichita Falls, TX 76301
Phone (513) 404-6370

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.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1811489552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 STONE LAKE DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763108017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 8TH ST STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012324",
            "telephone_number": "513-404-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Stone Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763108017",
            "country_code": "US",
            "telephone_number": "513-404-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTER",
        "first_name": "VANESSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BRICKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.