Active NPI
Tina Michele Macke
- Occupational Therapy Assistant
- Richardson, TX
National Provider Identifier
1922587393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 213743
- Practice address
- 3550 N Shiloh Rd
Richardson, TX 75082-2464 - Phone
- (972) 231-4810
- Fax
- (972) 231-4813
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 213743 | TX | Primary |
Addresses
Primary practice location
3550 N Shiloh Rd
Richardson, TX 75082-2464
Mailing address
1209 Seminary RDG
Garland, TX 75043-1212
Phone (219) 242-2308
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
| License | State | Type | Specialty |
|---|---|---|---|
| 213743 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1922587393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 SEMINARY RDG",
"city": "GARLAND",
"state": "TX",
"postal_code": "750431212",
"telephone_number": "219-242-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 N SHILOH RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822464",
"telephone_number": "972-231-4810",
"fax_number": "972-231-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKE",
"first_name": "TINA",
"middle_name": "MICHELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "213743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.