Individual provider Active NPI

Denise Michele Baylor, OTR, CLT-LANA, LMT

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1902640675
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117170 Issued in TX
Practice address
17000 El Camino Real Ste 105D
Houston, TX 77058-2632
Phone
(281) 630-5413
Fax
(281) 858-2349
NPI assigned
Jun 19, 2024
Last updated
Jul 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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 117170 TX Primary

Addresses

Primary practice location

17000 El Camino Real Ste 105D
Houston, TX 77058-2632

Mailing address

17000 El Camino Real Ste 105D
Houston, TX 77058-2632
Phone (281) 630-5413

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
117170TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1902640675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 EL CAMINO REAL STE 105D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582632",
            "telephone_number": "281-630-5413",
            "fax_number": "281-858-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 EL CAMINO REAL STE 105D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582632",
            "telephone_number": "281-630-5413",
            "fax_number": "281-858-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLOR",
        "first_name": "DENISE",
        "middle_name": "MICHELE",
        "credential": "OTR, CLT-LANA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117170",
            "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 Jul 28, 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.