Active NPI
Bjorg Tuppen Bourianoff, OT
- Hand Occupational Therapist
- Houston, TX
National Provider Identifier
1881709178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 100227
- Practice address
- 2158 Portsmouth St
Houston, TX 77098-4057 - Phone
- (713) 529-4990
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 100227 | TX | Primary |
| Physical Therapist | 225100000X | 1012532 | TX |
Addresses
Primary practice location
2158 Portsmouth St
Houston, TX 77098-4057
Mailing address
3762 Drummond St
Houston, TX 77025-2418
Phone (713) 622-0598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100227 | Other | TX | LICENSE # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100227 | TX | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1881709178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3762 DRUMMOND ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770252418",
"telephone_number": "713-622-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2158 PORTSMOUTH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984057",
"telephone_number": "713-529-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURIANOFF",
"first_name": "BJORG",
"middle_name": "TUPPEN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "100227",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1012532",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "100227",
"state": "TX"
}
],
"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 Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.