Individual provider Active NPI

Alejandro Alfonso Cantu, OTR

  • Occupational Therapist
  • Laredo, TX
National Provider Identifier
1083810824
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
108458 Issued in TX
Practice address
1220 N Malinche Ave
Laredo, TX 78043-3354
Phone
(956) 722-2431
Fax
(956) 722-7553
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 108458 TX Primary

Addresses

Primary practice location

1220 N Malinche Ave
Laredo, TX 78043-3354

Mailing address

1220 N Malinche Ave
Laredo, TX 78043-3354
Phone (956) 722-2431

Other identifiers 2

IdentifierTypeStateIssuer
108458OtherTXLICENSE NUMBER
81517TOtherTXBCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000314 TX Practitioner - Occupational Therapist in Private Practice 2769442771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruthe B Cowl Rehabilitation CenterGroup PAC ID 0143257477, 10 clinicians

Practice addresses (Care Compare)

1220 N Malinche Ave
Laredo, TX 78043-3354
Phone (956) 722-2431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ruthe B. Cowl Rehabilitation Center CurrentSince Jun 22, 2023 Accepting new patients
Oaferina Professional Corp. Occupational Therapist Past Accepting new patients
Algo Health Inc Occupational Therapist PastSince Jun 15, 2010 Accepting new patients

Locations

1220 N Malinche Ave
Laredo, TX 78043
Phone (956) 722-2431

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1083810824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N MALINCHE AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433354",
            "telephone_number": "956-722-2431",
            "fax_number": "956-722-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MALINCHE AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433354",
            "telephone_number": "956-722-2431",
            "fax_number": "956-722-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "ALEJANDRO",
        "middle_name": "ALFONSO",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "108458",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "81517T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.