Individual provider Active NPI

Amanda R Valenzuela, OT

  • Occupational Therapist
  • Katy, TX
National Provider Identifier
1982144127
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118176 Issued in TX
Practice address
23225 Kingsland Blvd
Suite 600
Katy, TX 77494-2868
Phone
(281) 395-9090
Fax
(281) 395-9091
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Rehabilitation, LLC (53 clinicians)

Practice addresses (Care Compare)

23225 Kingsland Blvd
Suite 600
Katy, TX 77494-3705
Phone (281) 395-9090

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171017000360 TX Practitioner - Occupational Therapist in Private Practice 7214203470 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Rehabilitation LLC Occupational Therapist Current
since Feb 10, 2017
Accepting new patients

Locations

5401 La Crosse Ave
Bldg C
Austin, TX 78739
Phone (512) 852-8134

23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 118176 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

23225 Kingsland Blvd
Suite 600
Katy, TX 77494-2868

Mailing address

23225 Kingsland Blvd
Suite 600
Katy, TX 77494-2868
Phone (281) 395-9090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2017.

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1982144127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD",
            "address_2": "SUITE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942868",
            "telephone_number": "281-395-9090",
            "fax_number": "281-395-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD",
            "address_2": "SUITE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942868",
            "telephone_number": "281-395-9090",
            "fax_number": "281-395-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.