Individual provider Active NPI

Rosie Isela Vallejo, OTR

  • Occupational Therapist
  • McAllen, TX
National Provider Identifier
1023245297
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118877 Issued in TX
Practice address
800 S 16TH 1/2 St Ste 20
McAllen, TX 78501-5263
Phone
(956) 328-5424
Fax
(844) 272-6959
NPI assigned
Jun 16, 2009
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 208964 TX
Occupational Therapist 225X00000X 118877 TX Primary

Addresses

Primary practice location

800 S 16TH 1/2 St Ste 20
McAllen, TX 78501-5263

Mailing address

2513 Emory Ave
McAllen, TX 78504-5730
Phone (956) 624-6468

Other practice location 1

1200 E Business 83
San Juan, TX 78589-4758
Phone (956) 782-4647

Other identifiers 1

IdentifierTypeStateIssuer
3796575MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208964TXMDOccupational Therapy Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1023245297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 EMORY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045730",
            "telephone_number": "956-624-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 16TH 1/2 ST STE 20",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015263",
            "telephone_number": "956-328-5424",
            "fax_number": "844-272-6959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Business 83",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "785894758",
            "country_code": "US",
            "telephone_number": "956-782-4647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "ROSIE",
        "middle_name": "ISELA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208964",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3796575",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.