Active NPI
Jeremy Sykes, COTA
- Occupational Therapy Assistant
- Tomball, TX
National Provider Identifier
1982168654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 212958
- Practice address
- 11830 Northpointe Blvd
Tomball, TX 77377-5536 - Phone
- (281) 205-9400
- NPI assigned
- Jan 28, 2019
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 212958 | TX | Primary |
Addresses
Primary practice location
11830 Northpointe Blvd
Tomball, TX 77377-5536
Mailing address
11923 Pocatello Dr
Tomball, TX 77377-3997
Phone (832) 286-2703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212958 | Other | TX | LICENSE TO PRACTICE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 212958 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1982168654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11923 POCATELLO DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773773997",
"telephone_number": "832-286-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11830 NORTHPOINTE BLVD",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773775536",
"telephone_number": "281-205-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYKES",
"first_name": "JEREMY",
"name_prefix": "Mr.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "212958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE TO PRACTICE",
"identifier": "212958",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
- Superfast Pharmacy and Medical Supplies LLC
- Supporting the Journey Services
- Surgical Advanced Specialty Center LL LTD., L.L.P.
- Surgical Excellence Associates PLLC
- Lori Ann Swenson, FNP-C
- Synergenx Health - Cibolo LLC
- Synergenx Health - Hills and Dales LLC
- Synergenx Health - Knoxville LLC
- Synergenx Health - Midland LLC
- Synergenx Health - Poplar Creek LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.