Ednica Maxineau, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

125155 Issued in TX

Practice address

103 Blanco Woods Blvd
Elgin, TX 78621-5819

Phone

(347) 447-7946

NPI assigned

Oct 18, 2022

Last updated

May 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ap Therapy LLC

  dba Sequoia Care Outpatient Therapy Services

  • Physical Therapist
  • League City, TX
  • NPI 1821823717

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1245956549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BLANCO WOODS BLVD",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786215819",
            "telephone_number": "347-447-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BLANCO WOODS BLVD",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786215819",
            "telephone_number": "347-447-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXINEAU",
        "first_name": "EDNICA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "125155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Star Circle of Care (Lone Star Circle of Care @ Elgin)
• Michelle Hanh Ma, O.D.
• Donna Mabry, RN
• Makana Path LLC
• Diane Martinez, LCSW
• John Michael McIntyre, APRN, FNP-C
• Laura Susan Miller
• Mydental at Elgin PLLC (myDental)
• National Surgicalstaff Health Professionals LLC
• Ruthie Michelle North, PTA

• Occupational Therapist in Elgin, TX
• Providers in Elgin, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.