Organization Active NPI

New Spectrum Occupational Therapy Services LLC

  • Pediatric Occupational Therapist
  • Houston, TX
National Provider Identifier
1992348510
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
NEW SPECTRUM OCCUPATIONAL THERAPY SERVICES LLC
Practice address
14360 Bellaire Blvd Ste 132
Houston, TX 77083-7516
Phone
(832) 495-3345
NPI assigned
Oct 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Stephanie OguchiNPI 1376044172
Title
Occupational Therapist/Owner
Phone
(832) 495-3345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

14360 Bellaire Blvd Ste 132
Houston, TX 77083-7516

Mailing address

14360 Bellaire Blvd Ste 132
Houston, TX 77083-7516
Phone (832) 495-3345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191227001598 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870927841 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1992348510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14360 BELLAIRE BLVD STE 132",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837516",
            "telephone_number": "832-495-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 BELLAIRE BLVD STE 132",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837516",
            "telephone_number": "832-495-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SPECTRUM OCCUPATIONAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "OGUCHI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "832-495-3345"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.