Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole D'Antonio

Individual provider Occupational Therapist · NPI 1619671963

Nicole D'Antonio is an Occupational Therapist in Private Practice in Houston, Texas. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2023

Practice location Address checks out

19255 Park Row Ste 105
Houston, TX 77084-7310
Phone: (346) 333-2794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26077 Nelson Way Ste 303, Katy, TX 77494-6677 — (346) 299-1299

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 123459 (TX)

Record details

NPI number1619671963
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address3735 Oyster Tree Dr, Houston, TX 77084-6122

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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