Individual provider Active NPI

Elizabeth Juarez, OTR

  • Occupational Therapist
  • Rio Grande City, TX
National Provider Identifier
1306385059
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116220 Issued in TX
Practice address
131 N FM 3167 Ste B
Rio Grande City, TX 78582-7009
Phone
(956) 362-3960
Fax
(956) 362-3965
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 116220 TX Primary

Addresses

Primary practice location

131 N FM 3167 Ste B
Rio Grande City, TX 78582-7009

Mailing address

506 E 2ND St
Rio Grande City, TX 78582-3810
Phone (956) 487-8100

Other practice location 1

506 E 2nd St
Rio Grande City, TX 78582-3810
Phone (956) 487-8100

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
116220TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Hospital at Renaissance, LTD PastSince Oct 18, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1306385059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E 2ND ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823810",
            "telephone_number": "956-487-8100",
            "fax_number": "956-487-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE B",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-362-3960",
            "fax_number": "956-362-3965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785823810",
            "country_code": "US",
            "telephone_number": "956-487-8100",
            "fax_number": "956-487-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.