Active NPI
Juliana Lee Durrett, OTR
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1306889589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109491
- Practice address
- 8711 Village Dr
Suite 109
San Antonio, TX 78217-5418 - Phone
- (210) 297-2725
- Fax
- (210) 297-0215
- NPI assigned
- Jun 14, 2006
- Last updated
- May 8, 2012
- 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 | 109491 | TX | Primary |
Addresses
Primary practice location
8711 Village Dr
Suite 109
San Antonio, TX 78217-5418
Mailing address
6467 Lost Holly
San Antonio, TX 78240-4940
Phone (210) 561-1380
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109491 | Other | TX | OT LICENSE |
| PENDING | Other | TX | BLUE CROSS |
| PENDING | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109491 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Center PA | Occupational Therapist | Past | Accepting new patients |
| VHS San Antonio Partners LLC | Past | Accepting new patients | |
| VHS San Antonio Partners, LLC | Past | Accepting new patients | |
| Hill Country Electrodiagnostics PLLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Hand Center of San Antonio
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1154398949
Occupational Therapist
-
- Clinical Electrophysiology Physical Therapist
- San Antonio, TX
- NPI 1881070753
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
dba Westover Hills Baptist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1306889589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6467 LOST HOLLY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404940",
"telephone_number": "210-561-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8711 VILLAGE DR",
"address_2": "SUITE 109",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175418",
"telephone_number": "210-297-2725",
"fax_number": "210-297-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURRETT",
"first_name": "JULIANA",
"middle_name": "LEE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "109491",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PENDING",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"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 May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.