Individual provider Active NPI

Annette Tano, OTR

  • Occupational Therapist
  • El Paso, TX
National Provider Identifier
1184920860
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
305009 Issued in TX
Practice address
6601 Montana Ave
Suite G & H
El Paso, TX 79925-2155
Phone
(915) 838-7604
Fax
(915) 772-4633
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 305009 TX Primary

Addresses

Primary practice location

6601 Montana Ave
Suite G & H
El Paso, TX 79925-2155

Mailing address

1605 George Dieter Dr Ste 536
El Paso, TX 79936-5600
Phone (915) 671-1371

Other practice location 1

6151 Dew Dr Ste 420
El Paso, TX 79912-3912
Phone (915) 249-6164

Other identifiers 2

IdentifierTypeStateIssuer
149984001MedicaidTX
207164901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230002094 TX Practitioner - Occupational Therapist in Private Practice 9638518061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114120TXMDClinical Social Worker
305009TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therafunction Pediatric Therapy Services Occupational Therapist CurrentSince Sep 2, 2024 Accepting new patients
Actioncare Rehabilitation Center LLC Past Accepting new patients

Locations

1605 George Dieter Dr
Ste 635
El Paso, TX 79936

1605 George Dieter Dr
Ste 536
El Paso, TX 79936

6151 Dew Dr
Ste 420
El Paso, TX 79912
Phone (915) 249-6164

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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1184920860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 536",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365600",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MONTANA AVE",
            "address_2": "SUITE G & H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252155",
            "telephone_number": "915-838-7604",
            "fax_number": "915-772-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6151 Dew Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799123912",
            "country_code": "US",
            "telephone_number": "915-249-6164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANO",
        "first_name": "ANNETTE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "305009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.