Individual provider Active NPI

Deshambra L Sims, MOT/OTR

  • Pediatric Occupational Therapist
  • Cypress, TX
National Provider Identifier
1972742237
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
112761 Issued in TX
Practice address
18118 Cypress Mist CT
Cypress, TX 77433-2496
Phone
(713) 835-9579
Fax
(281) 304-2390
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 112761 TX
Pediatric Occupational Therapist 225XP0200X
Pediatric Occupational Therapist 225XP0200X 112761 TX Primary

Addresses

Primary practice location

18118 Cypress Mist CT
Cypress, TX 77433-2496

Mailing address

18118 Cypress Mist CT
Cypress, TX 77433-2496
Phone (713) 835-9579

Other practice location 1

16835 Deer Creek Dr
Spring, TX 77379-4968
Phone (281) 379-4373

Other practice location 2

4888 Loop Central Dr Ste 200
Houston, TX 77081
Phone (713) 838-9050

Other identifiers 1

IdentifierTypeStateIssuer
3952038MedicaidTX

Other names 1

  • Miss Deshambra L Pennie Other name

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
112761TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Therapy Connections LLC Occupational Therapist CurrentSince Dec 6, 2020 Accepting new patients
Easter Seals of Greater Houston, Inc. Past Accepting new patients
Easter Seals of Greater Houston Inc. PastSince Apr 11, 2021 Accepting new patients

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": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1972742237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18118 CYPRESS MIST CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332496",
            "telephone_number": "713-835-9579",
            "fax_number": "281-304-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18118 CYPRESS MIST CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332496",
            "telephone_number": "713-835-9579",
            "fax_number": "281-304-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16835 Deer Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773794968",
            "country_code": "US",
            "telephone_number": "281-379-4373",
            "fax_number": "281-655-0762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4888 Loop Central Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77081",
            "country_code": "US",
            "telephone_number": "713-838-9050",
            "fax_number": "713-838-0926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "DESHAMBRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MOT/OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112761",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "112761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3952038",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESHAMBRA",
            "last_name": "PENNIE",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "MOT/OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.