Active NPI
Myra Linda Vasquez-Romero, OTR
- Occupational Therapist
- Alvin, TX
National Provider Identifier
1043586084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103618
- Practice address
- 2915 County Road 179
Alvin, TX 77511-7047 - Phone
- (832) 498-1631
- NPI assigned
- Mar 23, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 103618 | TX | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 103618 | TX | |
| Occupational Therapist | 225X00000X | 103618 | TX | Primary |
Addresses
Primary practice location
2915 County Road 179
Alvin, TX 77511-7047
Mailing address
2915 County Road 179
Alvin, TX 77511-7047
Phone (832) 336-1635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Texas Medical Branch at Galveston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4557 S Western St
Suite B4
Amarillo, TX 79109-8044
Phone (833) 233-7875
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103618 | TX | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Occupational Therapist | Current | Accepting new patients |
Locations
4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1043586084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 COUNTY ROAD 179",
"city": "ALVIN",
"state": "TX",
"postal_code": "775117047",
"telephone_number": "832-336-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 COUNTY ROAD 179",
"city": "ALVIN",
"state": "TX",
"postal_code": "775117047",
"telephone_number": "832-498-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ-ROMERO",
"first_name": "MYRA",
"middle_name": "LINDA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "TX",
"license": "103618",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TX",
"license": "103618",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alvin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.