Organization Active NPI

Forever Health

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1114185683
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100688 Issued in TX
Legal business name
FOREVER HEALTH
Practice address
202 W Sunset Rd
Suite B
San Antonio, TX 78209-2635
Phone
(210) 402-4077
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roslyn M. Mazal, OTR/LLC
Title
President
Phone
(210) 402-4077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 100688 TX Primary

Addresses

Primary practice location

202 W Sunset Rd
Suite B
San Antonio, TX 78209-2635

Mailing address

202 W Sunset Rd
Suite B
San Antonio, TX 78209-2635
Phone (210) 402-4077

Other identifiers 1

IdentifierTypeStateIssuer
0062HEOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

202 W Sunset Rd
Ste B
San Antonio, TX 78209
Phone (210) 402-4077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1114185683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W SUNSET RD",
            "address_2": "SUITE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092635",
            "telephone_number": "210-402-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W SUNSET RD",
            "address_2": "SUITE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092635",
            "telephone_number": "210-402-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MAZAL",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-402-4077",
        "authorized_official_credential": "OTR/LLC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "100688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0062HE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.