Individual provider Active NPI

Johnna Patterson Tekell, OTR

  • Occupational Therapist
  • Paris, TX
National Provider Identifier
1902388705
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114042 Issued in TX
Practice address
4180 Pine Mill Rd
Paris, TX 75462-5172
Phone
(903) 517-5642
NPI assigned
Aug 29, 2018
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 114042 TX Primary

Addresses

Primary practice location

4180 Pine Mill Rd
Paris, TX 75462-5172

Mailing address

4180 Pine Mill Rd
Paris, TX 75462-5172
Phone (903) 517-5642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302001087 TX Practitioner - Occupational Therapist in Private Practice 1951793470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xzact Therapy and Aquatics LLCGroup PAC ID 9830314764, 6 clinicians

Practice addresses (Care Compare)

1675 NE Loop
Suite 286
Paris, TX 75460-2219
Phone (903) 782-9922

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
100
Improvement activities
40
Cost
52.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Xzact Therapy and Aquatics LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1675 NE Loop 286
Paris, TX 75460
Phone (903) 782-9922

3195 Lamar Ave
Paris, TX 75460
Phone (903) 669-3051

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1902388705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 PINE MILL RD",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625172",
            "telephone_number": "903-517-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 PINE MILL RD",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625172",
            "telephone_number": "903-517-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON TEKELL",
        "first_name": "JOHNNA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.