Clarissa San Juan, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

116278 Issued in TX

Practice address

18 Scenic Loop Rd # 200D
Boerne, TX 78006-8672

Phone

(830) 755-0098

NPI assigned

May 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bluebonnet Pediatric Therapy LLC

  • Pediatric Occupational Therapist
  • Boerne, TX
  • NPI 1982358420
  Medicare reassignment NPD

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

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1164212312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 ELEMINA TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494561",
            "telephone_number": "832-531-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SCENIC LOOP RD # 200D",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068672",
            "telephone_number": "830-755-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JUAN",
        "first_name": "CLARISSA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-10",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Salinas, LCSW
• Brittany Salstrand
• San Antonio Advanced Medical Group PA
• San Antonio Dental Center
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
• Sana Vida Wellness Center PLLC
• Juan Sanchez Jr.
• Rebecca Sanchez, LVN
• Douglas W Sander, PSY.D
• Marisa Sandera, M.D.

• Occupational Therapist in Boerne, TX
• Providers in Boerne, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.