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
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

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

Addresses

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Rehabilitation, LLCGroup PAC ID 5890988216, 53 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Rehabilitation LLC Occupational Therapist CurrentSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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.