Individual provider Active NPI

Lercia Davis Collins, COTA

  • Occupational Therapy Assistant
  • The Woodlands, TX
National Provider Identifier
1891236824
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
210698 Issued in TX
Practice address
25420 Kuykendahl Rd # 300-1025
The Woodlands, TX 77375-3405
Phone
(346) 330-2493
Fax
(346) 332-0858
NPI assigned
Mar 9, 2017
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 210698 TX Primary

Addresses

Primary practice location

25420 Kuykendahl Rd # 300-1025
The Woodlands, TX 77375-3405

Mailing address

25420 Kuykendahl Rd Ste B3001025
The Woodlands, TX 77375-3405
Phone (346) 330-2493

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
210698TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shi' Management - Structured Healthcare Information Management, LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1891236824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25420 KUYKENDAHL RD STE B3001025",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773753405",
            "telephone_number": "346-330-2493",
            "fax_number": "346-332-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25420 KUYKENDAHL RD # 300-1025",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773753405",
            "telephone_number": "346-330-2493",
            "fax_number": "346-332-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LERCIA",
        "middle_name": "DAVIS",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.