Ross McCollom, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

211167 Issued in TX

Practice address

3391 E State Highway 243
Kaufman, TX 75142-6332

Phone

(972) 342-5365

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1932552213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 E STATE HIGHWAY 243",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751426332",
            "telephone_number": "972-342-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 E STATE HIGHWAY 243",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751426332",
            "telephone_number": "972-342-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOM",
        "first_name": "ROSS",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "211167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nellie Sue Mason
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• Matthew D Parker, OD
• Caitlyn Maxam
• James McClintock, FNP-C
• Tracy McDaniel, LCDC
• Ashley McGhee
• Betty McHone, LPC
• Stephen R McMahon, MD
• McMahon's Foundation Christian Care

• Occupational Therapy Assistant in Kaufman, TX
• Providers in Kaufman, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.