Active NPI
Tina Bhakta, OTR
- Pediatric Occupational Therapist
- Shavano Park, TX
National Provider Identifier
1962548354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 108648
- Practice address
- 4095 De Zavala Rd
Shavano Park, TX 78249-2066 - Phone
- (210) 493-8100
- Fax
- (210) 493-8154
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 108648 | TX | Primary |
Addresses
Primary practice location
4095 De Zavala Rd
Shavano Park, TX 78249-2066
Mailing address
4095 De Zavala Rd
Shavano Park, TX 78249-2066
Phone (210) 493-8100
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 |
|---|---|---|---|
| 108648 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Associates | Pediatrics | Past | 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": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962548354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4095 DE ZAVALA RD",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782492066",
"telephone_number": "210-493-8100",
"fax_number": "210-493-8154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4095 DE ZAVALA RD",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782492066",
"telephone_number": "210-493-8100",
"fax_number": "210-493-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "TINA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "108648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shavano Park, TX
- Julia Garza Bailey, M.D.
- Juliette Barrera, ACNPC-AG
- Baumholtz Plastic Surgery Associates, PLLC
- Michael Aaron Baumholtz, MD, MS
- Caroline Gaines Behrens, CPC
- Hanul Srinivas Bhandari, MD
- Naumit Sri Indraneel Bhandari, M.D.
- Boerne Hospice Partners, LLC (Crest Hospice and Palliative Care)
- Cheri Brown, LCSW, LCDC
- Ryan Daniel Buell, M.ED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.