Individual provider Active NPI

Maria Natasha Odendaal, OTR

  • Occupational Therapist
  • Edinburg, TX
National Provider Identifier
1245319656
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106365 Issued in TX
Practice address
5225 S McColl Rd
Edinburg, TX 78539-7861
Phone
(956) 627-2142
Fax
(956) 627-2301
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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 106365 TX Primary

Addresses

Primary practice location

5225 S McColl Rd
Edinburg, TX 78539-7861

Mailing address

5225 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 627-2142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000377 TX Practitioner - Occupational Therapist in Private Practice 1254422801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolutions Therapy, LLCGroup PAC ID 1254414188, 2 clinicians

Practice addresses (Care Compare)

5225 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 627-2142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutions Therapy LLC CurrentSince Dec 3, 2007 Accepting new patients

Locations

5225 S McColl Rd
Edinburg, TX 78539
Phone (956) 627-2142

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1245319656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397861",
            "telephone_number": "956-627-2142",
            "fax_number": "956-627-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397861",
            "telephone_number": "956-627-2142",
            "fax_number": "956-627-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODENDAAL",
        "first_name": "MARIA",
        "middle_name": "NATASHA",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "106365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.