Individual provider Active NPI

Bianca Elisa Garcia

  • Occupational Therapist
  • Brownsville, TX
National Provider Identifier
1336459296
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113782 Issued in TX
Practice address
1901 E 22ND St
Brownsville, TX 78521-2956
Phone
(956) 542-8504
Fax
(956) 542-6510
NPI assigned
Oct 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 113782 TX Primary

Addresses

Primary practice location

1901 E 22ND St
Brownsville, TX 78521-2956

Mailing address

1901 E 22ND St
Brownsville, TX 78521-2956
Phone (956) 542-8504

Other practice location 1

835 N Expressway
Suite A
Brownsville, TX 78520-6831
Phone (956) 544-7722

Other identifiers 4

IdentifierTypeStateIssuer
286091804MedicaidTX
169033101MedicaidTX
286091805MedicaidTX
45-4849OtherTXMEDICARE

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
113782TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice PastSince Dec 22, 2020 Accepting new patients
Brownsville Society for Crippled Children Inc Occupational Therapist PastSince Dec 22, 2020 Accepting new patients
Bright Medical Investments, Inc. Past Accepting new patients
Bright Medical Investments, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1336459296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 22ND ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212956",
            "telephone_number": "956-542-8504",
            "fax_number": "956-542-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 22ND ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212956",
            "telephone_number": "956-542-8504",
            "fax_number": "956-542-6510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 N Expressway",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785206831",
            "country_code": "US",
            "telephone_number": "956-544-7722",
            "fax_number": "956-544-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "BIANCA",
        "middle_name": "ELISA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286091804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169033101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286091805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "45-4849",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.