Griselda Blanco, OTR
Individual provider Active NPI Occupational Therapist · Rio Grande City, TX
NPI 1003101445 · NPPES record last updated Nov 4, 2023
Key facts
- NPI
- 1003101445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 114169 (TX)
- Practice address
- 5346 E US Highway 83 Ste 2
Rio Grande City, TX 78582-9418 - Phone
- (956) 317-1282
- Fax
- (956) 317-1282
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Over Matter Pediatric Therapy Center, LLC | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 114169 | TX | Yes |
Addresses
Primary practice location
5346 E US Highway 83 Ste 2
Rio Grande City, TX 78582-9418
Mailing address
5346 E US Highway 83 Ste 2
Rio Grande City, TX 78582-9418
Phone (956) 292-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460581169 | Medicaid | TX | |
| 270385434 | Medicaid | TX | |
| 270230249 | Medicaid | TX | |
| 862263137 | Medicaid | TX |
Other providers in Rio Grande City, TX
- Melany Benavides
- Raymond Cruz Best
- Beyond Borders Mental Health Center, PLLC
- Bio-Medical Applications of Texas, Inc.
- Eva Blanco
- Boone Emergency Physicians PLLC
- Border River Incorporated
- Border River Incorporated
- Bounce Back Specialty House
- Bounce Back Therapy PLLC
All providers in Rio Grande City, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.