Active NPI
Roslyn M. Mazal, OTR
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1295938942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 100688
- Practice address
- 202 W Sunset Rd # B
San Antonio, TX 78209-2635 - Phone
- (210) 402-4077
- Fax
- (210) 402-2922
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100688 | TX | Primary |
Addresses
Primary practice location
202 W Sunset Rd # B
San Antonio, TX 78209-2635
Mailing address
202 W Sunset Rd # B
San Antonio, TX 78209-2635
Phone (210) 402-4077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T3098 | Other | TX | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100688 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1295938942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W SUNSET RD # B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092635",
"telephone_number": "210-402-4077",
"fax_number": "210-402-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W SUNSET RD # B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092635",
"telephone_number": "210-402-4077",
"fax_number": "210-402-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZAL",
"first_name": "ROSLYN",
"middle_name": "M.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "100688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8T3098",
"state": "TX"
}
],
"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 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.