Active NPI
Marlene J Vanegas, OTR
- Occupational Therapist
- Pharr, TX
National Provider Identifier
1043332471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109575
- Practice address
- 1312 E Juarez Ave
Pharr, TX 78577-4306 - Phone
- (956) 787-8505
- Fax
- (956) 787-8505
- NPI assigned
- Apr 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109575 | TX | Primary |
Addresses
Primary practice location
1312 E Juarez Ave
Pharr, TX 78577-4306
Mailing address
1312 E Juarez Ave
Pharr, TX 78577-4306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109575 | Other | TX | TX STATE BOARD OF OCCUPAT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109575 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1043332471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 E JUAREZ AVE",
"city": "PHARR",
"state": "TX",
"postal_code": "785774306",
"fax_number": "956-787-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 E JUAREZ AVE",
"city": "PHARR",
"state": "TX",
"postal_code": "785774306",
"telephone_number": "956-787-8505",
"fax_number": "956-787-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANEGAS",
"first_name": "MARLENE",
"middle_name": "J",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX STATE BOARD OF OCCUPAT",
"identifier": "109575",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.