Active NPI
Eleanor Galaviz Sifuentes, LOTA
- Occupational Therapy Assistant
- Austin, TX
National Provider Identifier
1043791643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 208819
- Practice address
- 1700 Onion Creek Pkwy
Austin, TX 78748-1948 - Phone
- (512) 291-4900
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 208819 | TX | Primary |
Addresses
Primary practice location
1700 Onion Creek Pkwy
Austin, TX 78748-1948
Mailing address
8417 Panadero Dr
Austin, TX 78747-2745
Phone (469) 834-7719
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 |
|---|---|---|---|
| 208819 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1043791643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8417 PANADERO DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787472745",
"telephone_number": "469-834-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ONION CREEK PKWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787481948",
"telephone_number": "512-291-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIFUENTES",
"first_name": "ELEANOR",
"middle_name": "GALAVIZ",
"credential": "LOTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "208819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.