Active NPI
Jane Johnson, O.T.
- Occupational Therapist
- Del Rio, TX
National Provider Identifier
1184664740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT110488
- Practice address
- 2201 N Bedell Ave
#B
Del Rio, TX 78840-8007 - Phone
- (830) 774-1556
- Fax
- (830) 774-6150
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- 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 | OT110488 | TX | Primary |
Addresses
Primary practice location
2201 N Bedell Ave
#B
Del Rio, TX 78840-8007
Mailing address
2201 N Bedell Ave
#B
Del Rio, TX 78840-8007
Phone (830) 774-1556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T4300 | Other | TX | BLUE CROSS ID NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT110488 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amistad Physical Therapy Clinic, LLC | Past | Accepting new patients | |
| Multicare Health System | Occupational Therapist | Past | Accepting new patients |
| Del Rio Therapy, P.C. | Past | Accepting new patients |
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.
-
- Specialist
- Del Rio, TX
- NPI 1396730297
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1184664740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 N BEDELL AVE",
"address_2": "#B",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788408007",
"telephone_number": "830-774-1556",
"fax_number": "830-774-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 N BEDELL AVE",
"address_2": "#B",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788408007",
"telephone_number": "830-774-1556",
"fax_number": "830-774-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JANE",
"name_prefix": "Ms.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "OT110488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID NUMBER",
"identifier": "8T4300",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Del Rio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.