Individual provider Active NPI

Stefany Bornacelly, OTA

  • Occupational Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1346962289
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
217571 Issued in TX
Practice address
13333 Blanco Rd Ste 310
San Antonio, TX 78216-7756
Phone
(210) 479-5875
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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 217571 TX Primary

Addresses

Primary practice location

13333 Blanco Rd Ste 310
San Antonio, TX 78216-7756

Mailing address

12727 Vista del Norte Apt 1023
San Antonio, TX 78216-8019
Phone (210) 501-2561

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
217571TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simply the Best Home Therapy, LLC PastSince Sep 20, 2022 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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1346962289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 VISTA DEL NORTE APT 1023",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782168019",
            "telephone_number": "210-501-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 BLANCO RD STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167756",
            "telephone_number": "210-479-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNACELLY",
        "first_name": "STEFANY",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217571",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 16, 2022; 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.