Individual provider Active NPI

Sandra Elsa Giddens, COTA

  • Occupational Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1295837458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
208988 Issued in TX
Practice address
5121 Crestway Dr
Suite 507
San Antonio, TX 78239-1980
Phone
(210) 646-8008
Fax
(210) 646-8242
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 208988 TX Primary

Addresses

Primary practice location

5121 Crestway Dr
Suite 507
San Antonio, TX 78239-1980

Mailing address

1040 Valley Forge Dr
Schertz, TX 78154-2023
Phone (210) 658-1014

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
208988TXMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295837458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 VALLEY FORGE DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542023",
            "telephone_number": "210-658-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 CRESTWAY DR",
            "address_2": "SUITE 507",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782391980",
            "telephone_number": "210-646-8008",
            "fax_number": "210-646-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDENS",
        "first_name": "SANDRA",
        "middle_name": "ELSA",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208988",
            "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, 2007; 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.