Individual provider Active NPI

Merima Kulosman, MSOT

  • Occupational Therapist
  • Round Rock, TX
National Provider Identifier
1942988605
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
123714 Issued in TX
Practice address
1201 S Interstate 35 Ste 105
Round Rock, TX 78664-6646
Phone
(512) 310-7665
Fax
(512) 310-7665
NPI assigned
Jul 11, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 123714 TX Primary

Addresses

Primary practice location

1201 S Interstate 35 Ste 105
Round Rock, TX 78664-6646

Mailing address

1201 S Interstate 35 Ste 105
Round Rock, TX 78664-6646
Phone (512) 310-7665

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
123714TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reavis Rehab & Wellness Center, Inc. PastSince Jul 16, 2023 Accepting new patients

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1942988605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S INTERSTATE 35 STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646646",
            "telephone_number": "512-310-7665",
            "fax_number": "512-310-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S INTERSTATE 35 STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646646",
            "telephone_number": "512-310-7665",
            "fax_number": "512-310-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULOSMAN",
        "first_name": "MERIMA",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.