Individual provider Active NPI

Roxanna Coronado

  • Occupational Therapy Assistant
  • Laredo, TX
National Provider Identifier
1346909892
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
217152 Issued in TX
Practice address
1505 Calle del Norte
Laredo, TX 78041-6036
Phone
(956) 722-6221
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 217152 TX Primary

Addresses

Primary practice location

1505 Calle del Norte
Laredo, TX 78041-6036

Mailing address

3507 Jaime Zapata Memorial Hwy Ste 7a
Laredo, TX 78043-4770
Phone (956) 753-5600

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
217152TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Rehab Services Inc. PastSince Oct 29, 2023 Accepting new patients
Mercy Rehab Services Inc Occupational Therapist PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 2

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1346909892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 JAIME ZAPATA MEMORIAL HWY STE 7A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434770",
            "telephone_number": "956-753-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 CALLE DEL NORTE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416036",
            "telephone_number": "956-722-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "ROXANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.