Individual provider Active NPI

Karla Yadira Menchaca, OT

  • Occupational Therapist
  • Rosenberg, TX
National Provider Identifier
1205321825
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121919 Issued in TX
Practice address
4706 Airport Ave Ste a
Rosenberg, TX 77471-5645
Phone
(281) 238-1800
Fax
(281) 239-0828
NPI assigned
Jun 26, 2018
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 121919 TX Primary

Addresses

Primary practice location

4706 Airport Ave Ste a
Rosenberg, TX 77471-5645

Mailing address

815 Chestnut Knoll LN
Missouri City, TX 77459-5276
Phone (956) 346-4357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211004745 TX Practitioner - Occupational Therapist in Private Practice 9335675461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121919TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Physical Therapy and Sports Rehab PLLC CurrentSince Nov 1, 2024 Accepting new patients
The Speech and Learning Center, L.L.P. Past Accepting new patients

Locations

5819 Highway 6
Ste 100A
Missouri City, TX 77459
Phone (281) 969-8922

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1205321825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CHESTNUT KNOLL LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595276",
            "telephone_number": "956-346-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 AIRPORT AVE STE A",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715645",
            "telephone_number": "281-238-1800",
            "fax_number": "281-239-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHACA",
        "first_name": "KARLA",
        "middle_name": "YADIRA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.