Active NPI
Thu Tuong Tran, OT
- Occupational Therapist
- Mesquite, TX
National Provider Identifier
1972167872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111680
- Practice address
- 900 Wiggins Pkwy
Mesquite, TX 75150-1400 - Phone
- (972) 686-2411
- Fax
- (866) 529-3789
- NPI assigned
- Apr 25, 2019
- 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 | 111680 | TX | Primary |
Addresses
Primary practice location
900 Wiggins Pkwy
Mesquite, TX 75150-1400
Mailing address
900 Wiggins Pkwy
Mesquite, TX 75150-1400
Phone (972) 686-2411
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111680 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1972167872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WIGGINS PKWY",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751501400",
"telephone_number": "972-686-2411",
"fax_number": "866-529-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WIGGINS PKWY",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751501400",
"telephone_number": "972-686-2411",
"fax_number": "866-529-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THU",
"middle_name": "TUONG",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.