Individual provider Active NPI

Kristi Tsokos Cardenas, COTA

  • Occupational Therapy Assistant
  • Katy, TX
National Provider Identifier
1831653591
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
211657 Issued in TX
Practice address
23553 W Fernhurst Dr
Katy, TX 77494-0686
Phone
(281) 394-1300
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
Yes

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
211657TXMDOccupational Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 211657 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

23553 W Fernhurst Dr
Katy, TX 77494-0686

Mailing address

17406 Ivy Brook CT
Houston, TX 77095-1164
Phone (832) 920-6970

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
211657OtherTXTEXAS BOARD OF OCCUPATIONAL THERAPY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2019.

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1831653591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17406 IVY BROOK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951164",
            "telephone_number": "832-920-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23553 W FERNHURST DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940686",
            "telephone_number": "281-394-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "KRISTI",
        "middle_name": "TSOKOS",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "211657",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.