Ocotillo Rehab Medicine PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

OCOTILLO REHAB MEDICINE PLLC

Practice address

330 W Ben White Blvd
Austin, TX 78704-8095

Phone

(512) 730-4800

Fax

(818) 671-2225

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Jon-Michael Resurreccion Ong, MDNPI 1659686947

Title

Owner

Phone

(713) 501-1461

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon-Michael Resurreccion Ong, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1659686947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1285250506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 BONHAM TER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042606",
            "telephone_number": "713-501-1461",
            "fax_number": "818-671-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048095",
            "telephone_number": "512-730-4800",
            "fax_number": "818-671-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO REHAB MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "JON-MICHAEL",
        "authorized_official_middle_name": "RESURRECCION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-501-1461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Nicholas Ochoa, DDS
• Oci Acquisition LLC
• Oci Acquisition LLC
• Oci Acquisition LLC
• Ocotillo Counseling, PLLC
• Octave Behavioral PA
• Ayan Octave
• Ocvt Westlake Corporation
• Vanessa Odders, APRN
• Oddny LLC

• Physical Medicine & Rehabilitation Physician in Austin, TX
• Providers in Austin, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.