=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437037413
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAPPHIRE THERAPY SPOT, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/26/2025
-----------------------------------------------------
Last Update Date | 08/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8322 ERASMUS LANDING CT
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77044-1721
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-341-2405
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4321 KINGWOOD DR # 127
-----------------------------------------------------
City | KINGWOOD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77339-3700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-341-2405
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COTA/L
-----------------------------------------------------
Name | JAMONIA JONES
-----------------------------------------------------
Credential | COTA/L, MBA
-----------------------------------------------------
Telephone | 832-341-2405
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 224Z00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapy Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------