Active NPI
Michelle Borneo Mayorga, OTR/L
- Occupational Therapist
- Houston, TX
National Provider Identifier
1235535857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114414
- Practice address
- 5755 Almeda Rd Unit 427
Houston, TX 77004-8114 - Phone
- (478) 697-3981
- NPI assigned
- Nov 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 114414 | TX | Primary |
Addresses
Primary practice location
5755 Almeda Rd Unit 427
Houston, TX 77004-8114
Mailing address
5755 Almeda Rd
427
Houston, TX 77004
Phone (478) 697-3981
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 |
|---|---|---|---|
| 114414 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Heights Pediatric Therapy PLLC | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Houston, TX
- NPI 1871198200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235535857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 ALMEDA RD",
"address_2": "427",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77004",
"telephone_number": "478-697-3981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 ALMEDA RD UNIT 427",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770048114",
"telephone_number": "478-697-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYORGA",
"first_name": "MICHELLE",
"middle_name": "BORNEO",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.