Jessica Anna Chavez, COTA
Individual provider Active NPI Occupational Therapy Assistant · Mission, TX
NPI 1124508528 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1124508528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 210233 (TX)
- Practice address
- 1200 S Bryan Rd
Mission, TX 78572-6840 - Phone
- (855) 687-8282
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210233 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 210233 | TX | Yes |
Addresses
Primary practice location
1200 S Bryan Rd
Mission, TX 78572-6840
Mailing address
611 Viento Tropical St
Mission, TX 78572-8226
Other providers in Mission, TX
- Fabian Chapa
- Robert Chapa Jr.
- Chatterbox Therapy, LLC.
- David Jaime Chavez
- Destiny Marie Chavez
- Krystal Lizette Chavez
- Raven Elise Chavez
- Liana Therese Chee
- Rockefeller Chery
- Crystal Lynn Chiu
All providers in Mission, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.