Individual provider Active NPI

Myeisha Yvette Hansbrough

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1811544091
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120195 Issued in TX
Practice address
4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466
Phone
(832) 868-7155
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 120195 TX Primary

Addresses

Primary practice location

4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466

Mailing address

4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466
Phone (832) 968-7155

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
120195TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamland Pediatric Therapy, PLLC Current Accepting new patients
TCG Home Health LLC PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 2

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1811544091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N SAM HOUSTON PKWY W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861466",
            "telephone_number": "832-968-7155",
            "fax_number": "713-383-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N SAM HOUSTON PKWY W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861466",
            "telephone_number": "832-868-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSBROUGH",
        "first_name": "MYEISHA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120195",
            "primary": true
        }
    ],
    "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 Aug 21, 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.

Verify at the official NPI Registry.