Illuminate Pediatric Therapy, PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

110160 Issued in TX

Legal business name

ILLUMINATE PEDIATRIC THERAPY, PLLC

Practice address

5804 Babcock Rd
#318
San Antonio, TX 78240-2134

Phone

(210) 286-2703

NPI assigned

Sep 3, 2010

Last updated

Sep 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo Antonio Alvarado, M.D.

Title

Owner / Physician

Phone

(210) 286-2703

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie Alvarado, OT

  • Occupational Therapist
  • San Antonio, TX
  • NPI 1104908441
  NPD

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1235446832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 BABCOCK RD",
            "address_2": "#318",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402134",
            "telephone_number": "210-286-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 BABCOCK RD",
            "address_2": "#318",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402134",
            "telephone_number": "210-286-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "210-286-2703",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "110160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Iler
• Marib Boyea Iley, LPTA
• Iliana Jackson FNP PLLC (ISJ Healthcare)
• Catherine Ilic
• Benjamin Paul Iliff, DO
• Illuminated Direction LLC
• Illuminating Possibility LLC
• Vidhya Devi Srinivasan Illuri, MD
• Jumoke Ilori
• Andrea Marie Iltis, ACNPC-AG

• Pediatric Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.