Active NPI
Jeremy David Gardner, O.T.
- Occupational Therapist
- Houston, TX
National Provider Identifier
1962648394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 115501
- Practice address
- 7502 Quail Meadow Dr
Houston, TX 77071-2314 - Phone
- (845) 641-0562
- NPI assigned
- Jan 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25 002833 | NY | |
| Occupational Therapist | 225X00000X | 115501 | TX | Primary |
Addresses
Primary practice location
7502 Quail Meadow Dr
Houston, TX 77071-2314
Mailing address
7502 Quail Meadow Dr
Houston, TX 77071-2314
Phone (845) 641-0562
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 |
|---|---|---|---|
| 25 002833 | NY | MD | Acupuncturist |
| 115501 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1962648394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7502 QUAIL MEADOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770712314",
"telephone_number": "845-641-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7502 QUAIL MEADOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770712314",
"telephone_number": "845-641-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JEREMY",
"middle_name": "DAVID",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-07",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "25 002833",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115501",
"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 26, 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.