Individual provider Active NPI

Holly Danielle Ambuehl, OTR, MOT

  • Occupational Therapist
  • Waxahachie, TX
National Provider Identifier
1962849224
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114591 Issued in TX
Practice address
1002 Legacy Ranch Rd Ste 104
Waxahachie, TX 75165-1293
Phone
(214) 980-1397
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 114591 TX Primary

Addresses

Primary practice location

1002 Legacy Ranch Rd Ste 104
Waxahachie, TX 75165-1293

Mailing address

3331 Cement Valley Rd
Midlothian, TX 76065-5312
Phone (972) 342-0704

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
114591TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald City Therapies, PLLC Occupational Therapist CurrentSince Dec 8, 2024 Accepting new patients
Afagh Holdings, Inc PastSince Sep 1, 2010 Accepting new patients
Epic Pediatric Therapy, LP. PastSince Feb 2, 2025 Accepting new patients

Locations

1002 Legacy Ranch Rd
Ste 104
Waxahachie, TX 75165
Phone (214) 399-8849

Organizations & group practices 3

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1962849224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 CEMENT VALLEY RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655312",
            "telephone_number": "972-342-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LEGACY RANCH RD STE 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "214-980-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBUEHL",
        "first_name": "HOLLY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "OTR, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.