Fabiola Negrete, OT
Individual provider Active NPI Occupational Therapist · Lake Jackson, TX
NPI 1205558137 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1205558137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 111424 (TX)
- Practice address
- 309 Plantation Dr
Lake Jackson, TX 77566-6142 - Phone
- (979) 418-7165
- Fax
- (979) 848-8337
- NPI assigned
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Univeristy of Texas Rio Grande Valley Med School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Angel Leaf Rehab and Consulting LLC
Practice addresses (Care Compare)
309 Plantation Dr
Lake Jackson, TX 77566-6142
Phone (979) 418-7165
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231023002591 | TX | Practitioner - Occupational Therapist in Private Practice | 9133575434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Leaf Rehab and Consulting LLC | Occupational Therapist | Current |
Accepting new patients |
| Brazoria County Association for Children'S Habilitation | Past | Accepting new patients |
Locations
309 Plantation Dr
Lake Jackson, TX 77566
Phone (979) 418-7165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111424 | TX | Yes |
Addresses
Primary practice location
309 Plantation Dr
Lake Jackson, TX 77566-6142
Mailing address
309 Plantation Dr
Lake Jackson, TX 77566-6142
Phone (979) 418-7165
Other providers in Lake Jackson, TX
- My Personal Home Care
- Lesley Lynne Nairn
- National Vision, Inc.
- Nec Lake Jackson Emergency Center, LP
- Linda Renese Neely Shelmire
- Morgan Rae Seier Nelson
- Nephrology Nutrition Services
- New Horizon Care Home LLC
- Next Level Psychiatric Care Inc
- Matthew C NG
All providers in Lake Jackson, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.