Individual provider Active NPI

Emilio Escobar Jr., COTA

  • Occupational Therapy Assistant
  • Mission, TX
National Provider Identifier
1124356209
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
210278 Issued in TX
Practice address
306 S Bryan Rd
Mission, TX 78572-6222
Phone
(956) 585-3333
Fax
(956) 585-3441
NPI assigned
Nov 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 210278 TX Primary

Addresses

Primary practice location

306 S Bryan Rd
Mission, TX 78572-6222

Mailing address

306 S Bryan Rd
Mission, TX 78572-6222
Phone (956) 585-3333

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

LicenseStateTypeSpecialty
210278TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thera-Care Rehab Services, PLLC Past Accepting new patients
A Plus Therapy LLC Past Accepting new patients

Organizations & group practices 2

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": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1124356209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726222",
            "telephone_number": "956-585-3333",
            "fax_number": "956-585-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726222",
            "telephone_number": "956-585-3333",
            "fax_number": "956-585-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "EMILIO",
        "name_suffix": "Jr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.