Active NPI
Alejandro Alfonso Cantu, OTR
- Occupational Therapist
- Laredo, TX
National Provider Identifier
1083810824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 108458
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108458 | Other | TX | LICENSE NUMBER |
| 81517T | Other | TX | BCBS NUMBER |
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
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruthe B. Cowl Rehabilitation Center | Current | Accepting new patients | |
| Oaferina Professional Corp. | Occupational Therapist | Past | Accepting new patients |
| Algo Health Inc | Occupational Therapist | Past | 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Laredo, TX
- NPI 1598759573
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.