Active NPI
Tamara Felicia Liburd
- Occupational Therapist
- Houston, TX
National Provider Identifier
1962096941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113920
- Practice address
- 504 Bering Dr
Houston, TX 77057-1479 - Phone
- (832) 699-1767
- NPI assigned
- Feb 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 113920 | TX | Primary |
Addresses
Primary practice location
504 Bering Dr
Houston, TX 77057-1479
Mailing address
15000 W Airport Blvd Apt 331
Sugar Land, TX 77498-7246
Phone (832) 716-6003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113920 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc. | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
110 Horizon Dr
#310
Raleigh, NC 27615
Interoperability endpoints
- lymphedematherapyspecialists.tamaraliburd@143910.advancedmd-direct.com
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.
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613865600000",
"number": "1962096941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15000 W AIRPORT BLVD APT 331",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774987246",
"telephone_number": "832-716-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 BERING DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571479",
"telephone_number": "832-699-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBURD",
"first_name": "TAMARA",
"middle_name": "FELICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-21",
"last_updated": "2021-02-21",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113920",
"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 Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.