Active NPI
Holly Danielle Ambuehl, OTR, MOT
- Occupational Therapist
- Waxahachie, TX
National Provider Identifier
1962849224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114591
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 114591 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald City Therapies, PLLC | Occupational Therapist | Current | Accepting new patients |
| Afagh Holdings, Inc | Past | Accepting new patients | |
| Epic Pediatric Therapy, LP. | Past | 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.
-
- Speech-Language Pathologist
- Waxahachie, TX
- NPI 1417511692
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Mansfield, TX
- NPI 1417141409
-
- Rehabilitation Clinic/Center
- Arlington, TX
- NPI 1013163377
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.