Dustan Houghtaling, COTA
Individual provider Active NPI Occupational Therapy Assistant · Hurst, TX
NPI 1962876466 · NPPES record last updated Nov 20, 2015
Key facts
- NPI
- 1962876466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 211823 (TX)
- Practice address
- 305 NE Loop 820
Business Tower 1 Suite 200
Hurst, TX 76053 - Phone
- (817) 292-8787
- Fax
- (817) 789-6849
- NPI assigned
- Nov 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211823 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 211823 | TX | Yes |
Addresses
Primary practice location
305 NE Loop 820
Business Tower 1 Suite 200
Hurst, TX 76053
Mailing address
18317 Tall Grass Prairie Dr
Pflugerville, TX 78660-2391
Phone (512) 993-4114
Other providers in Hurst, TX
- Alicia Hindman Hooker
- Anna Marie Hoover
- Hope N Peace Home Care LLC
- Robert Herald Hoskins
- Hospice Partners of Texas, LLC
- Zaw Win Htut
- Gang Hu
- Linda Hua
- Mary Ann Fleming Hubbard
- Allison C Huffstetler
All providers in Hurst, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.