Provider Demographics
NPI:1588031678
Name:PARGMANN OCCUPATIONAL THERAPY, PLLC
Entity Type:Organization
Organization Name:PARGMANN OCCUPATIONAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:PARGMANN
Authorized Official - Last Name:GERBODE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:832-654-3887
Mailing Address - Street 1:7756 CHAMPION PINES DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6222
Mailing Address - Country:US
Mailing Address - Phone:832-654-3887
Mailing Address - Fax:
Practice Address - Street 1:7756 CHAMPION PINES DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6222
Practice Address - Country:US
Practice Address - Phone:832-654-3887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108227251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX005163302Medicaid