Active NPI
Alejandro Leyva, OTR
- Gerontology Occupational Therapist
- Socorro, TX
National Provider Identifier
1366925190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 110906
- Practice address
- 950 Camino del Rey
Socorro, TX 79927-4288 - Phone
- (915) 859-3010
- NPI assigned
- Sep 7, 2018
- Last updated
- Sep 7, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 110906 | TX | Primary |
Addresses
Primary practice location
950 Camino del Rey
Socorro, TX 79927-4288
Mailing address
12492 Paseo Alegre Dr
El Paso, TX 79928-5688
Phone (915) 526-4124
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110906 | TX | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1366925190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12492 PASEO ALEGRE DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799285688",
"telephone_number": "915-526-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CAMINO DEL REY",
"city": "SOCORRO",
"state": "TX",
"postal_code": "799274288",
"telephone_number": "915-859-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYVA",
"first_name": "ALEJANDRO",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "TX",
"license": "110906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Socorro, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.