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John Carlo Shun Base , OTR

Occupational Therapist β€’ Georgetown, TX

Active NPI 1720236896 Individual Practitioner Male Practitioner
Practice location in NPPES

359 Village Commons Blvd
Georgetown, TX 786334448

Call 5122776405 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

359 Village Commons Blvd

Georgetown, TX 786334448

Telephone 5122776405
Fax 5122776406
Organization at the Same NPPES Address or Phone
Healthpro Heritage Rehab & Fitness, Llc Facility NPI 1952531154

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Georgetown and Texas

37 active clinicians are listed under Occupational Therapist with a practice address in Georgetown, TX (7,694 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Georgetown

0% of these 37 clinicians have the CMS telehealth indicator.

8.1% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES TX 117013

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Charlotte Barr

Nurse Practitioner - Family

NPI 1003551474
Alexandra Bleasdell , FNP-C

Nurse Practitioner - Family

NPI 1023898129

Family Nurse Practitioner (Certified)

Dawn Brown , MS, ANP-BC

Nurse Practitioner - Adult Health

NPI 1417254848

Master of Science, ANPBC

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 13, 2017

Registered at 359 VILLAGE COMMONS BLVD, GEORGETOWN, TX 786334448 (Tel: 5122776405)

πŸ“
Updated Business Mailing Address February 13, 2017

Registered at 150 KLATTENHOFF LN, APT 2104, HUTTO, TX 786344601 (Tel: 5129878718)

πŸ‘€
Provider Name / Credentials Updated February 13, 2017

Recorded as JOHN CARLO BASE, OTR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Occupational Therapist (license number reported to NPPES: TX 117013)

βœ…
NPI Profile Active September 03, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 03, 2008

Registered at 5980 W 71ST ST STE 102, INDIANAPOLIS, IN 462781785 (Tel: 3173880800)

πŸ“
Business Mailing Address (Initial Record) September 03, 2008

Registered at 5980 W 71ST ST STE 102, INDIANAPOLIS, IN 462781785 (Tel: 3173880800)

πŸ‘€
Provider Name / Credentials (Initial Record) September 03, 2008

Recorded as JOHN CARLO BASE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2008

Contractor (license number reported to NPPES: IN 31004664A)

🟒
Initial NPI Registration & Enumeration September 03, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720236896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2008
Last Update: February 13, 2017
Sole Proprietor: Yes

Mailing Address

150 Klattenhoff Ln, Apt 2104

Hutto, TX 786344601

Phone: 5129878718

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.