Individual provider Active NPI

Luis Miguel Trevino, OTD OT/L

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1033858642
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2931 Issued in TX
Practice address
4202 San Pedro Ave
San Antonio, TX 78212-1864
Phone
(210) 366-0607
Fax
(210) 366-3106
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2931 TX Primary

Addresses

Primary practice location

4202 San Pedro Ave
San Antonio, TX 78212-1864

Mailing address

3903 SE Military Dr Apt 3101
San Antonio, TX 78223-4092
Phone (956) 509-9494

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
0007111COMDOccupational Therapist
2931NVMDOccupational Therapist
122134TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Pediatric Therapy LLC Occupational Therapist CurrentSince Nov 1, 2024 Accepting new patients
Speakeasy Therapy Services, LLC Occupational Therapist CurrentSince Aug 18, 2024 Accepting new patients
Speakeasy Therapy Services, LLC Single Specialty PastSince Aug 11, 2024 Accepting new patients

Locations

1820 E Warm Springs Rd
Ste 130
Las Vegas, NV 89119

4680 Polaris Ave
Ste 200
Las Vegas, NV 89103
Phone (702) 909-5900

3965 W Cheyenne Ave
Ste 101
North Las Vegas, NV 89032

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1033858642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 SE MILITARY DR APT 3101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234092",
            "telephone_number": "956-509-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121864",
            "telephone_number": "210-366-0607",
            "fax_number": "210-366-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "LUIS",
        "middle_name": "MIGUEL",
        "credential": "OTD OT/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.