Alvaro Alvarado Quintanilla

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1707 Fountainview Dr
Mansfield, TX 76063-5091

Phone

(817) 752-9662

NPI assigned

Sep 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Balance in Motion Physical Therapy and Wellness LLCGroup PAC ID 2567810120, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Balance in Motion Physical Therapy and Wellness LLC

  • Rehabilitation Clinic/Center
  • Coppell, TX
  • NPI 1952180267

  Pediatrics

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1033830385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 FOUNTAINVIEW DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635091",
            "telephone_number": "817-752-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 FOUNTAINVIEW DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635091",
            "telephone_number": "817-752-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "ALVARO",
        "middle_name": "ALVARADO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality in Care, Inc.
• Erick Quan, LPA
• Quantum Infusion, Inc.
• Questcare Medical Clinics PLLC
• Hamid Quiles, DC
• Seema B Qureshi, OTR
• Zulfiqar Ali Qutrio Baloch, M.D.
• Patrick Rabjohn, MD, PH.D
• Radiant Muse Health & Wellness
• Samah S Y Rady, DDS, MS

• Pediatric Occupational Therapist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.