Melissa Olivarez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

210866 Issued in TX

Practice address

711 W Nolana Ave Ste 204a
McAllen, TX 78504-3079

Phone

(956) 803-0033

Fax

(956) 683-6448

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapy Squad, LLC

  • Home Health Agency
  • McAllen, TX
  • NPI 1972968543
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1295375863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MIRACLE LN",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723527",
            "telephone_number": "956-929-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W NOLANA AVE STE 204A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043079",
            "telephone_number": "956-803-0033",
            "fax_number": "956-683-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Omar Olivares III
• Enedelia Ethica Olivarez, M. ED.
• Kimberly Trevino Olivarez, COTA
• Leticia Olivarez, ATP
• Manuel Olivarez Jr., BSN, RN
• Rebecca Danielle Olivarez, APRN
• Roberto Olivarez Jr., O.D.
• Roy Olivarez Jr.
• Carlos Olmeda
• Sebastian Emeka Olumba, RPH

• Occupational Therapy Assistant in McAllen, TX
• Providers in McAllen, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.