Individual provider Active NPI

Jennifer Krystine Rhodes, MOTR/L

  • Pediatric Occupational Therapist
  • Houston, TX
National Provider Identifier
1942850482
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
120224 Issued in TX
Practice address
17045 El Camino Real Ste 106
Houston, TX 77058-2623
Phone
(281) 480-5648
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 120224 TX Primary

Addresses

Primary practice location

17045 El Camino Real Ste 106
Houston, TX 77058-2623

Mailing address

17045 El Camino Real Ste 106
Houston, TX 77058-2623
Phone (281) 480-5648

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
120224TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Kids Therapy, PLLC PastSince Sep 1, 2019 Accepting new patients
The Children'S Therapy Center, Inc. Pediatrics PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1942850482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17045 EL CAMINO REAL STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582623",
            "telephone_number": "281-480-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17045 EL CAMINO REAL STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582623",
            "telephone_number": "281-480-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "JENNIFER",
        "middle_name": "KRYSTINE",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "120224",
            "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 12, 2022; 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.