Individual provider Active NPI

Liana Rachel Trevino, OTD

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1245076454
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121689 Issued in TX
Practice address
634 S Presa St Ste 1
San Antonio, TX 78210-1067
Phone
(210) 216-4969
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 121689 TX Primary

Addresses

Primary practice location

634 S Presa St Ste 1
San Antonio, TX 78210-1067

Mailing address

153 Lou Jon Cir
San Antonio, TX 78213-3354
Phone (210) 216-4969

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121689TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrev Enterprise, PLLC Occupational Therapist CurrentSince Jun 29, 2025 Accepting new patients

Locations

634 S Presa St
Ste 1
San Antonio, TX 78210
Phone (210) 216-4969

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.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1245076454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 LOU JON CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782133354",
            "telephone_number": "210-216-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 S PRESA ST STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782101067",
            "telephone_number": "210-216-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "LIANA",
        "middle_name": "RACHEL",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.