Clarissa Arguelles Medrano, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

120812 Issued in TX

Practice address

406 Chelsea St
El Paso, TX 79905-1708

Phone

(915) 307-7612

Fax

(915) 307-7619

NPI assigned

Sep 24, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Riseup Performance and Wellness LLC

  • Occupational Therapist
  • El Paso, TX
  • NPI 1023999208
  NPD Authorized official

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1386995975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 CRUCERO DEL SOL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113022",
            "telephone_number": "915-342-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CHELSEA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051708",
            "telephone_number": "915-307-7612",
            "fax_number": "915-307-7619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 Wyoming Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799033817",
            "country_code": "US",
            "telephone_number": "915-342-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "CLARISSA",
        "middle_name": "ARGUELLES",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zulema Torresdey Medina Jr.
• Christopher G Medlin, PHARMD
• Medmark Treatment Centers of Texas, Inc.
• Medme Services Corporation
• Jose Guadalupe Medrano Rodriguez, PH.D, LPC.
• Daniel Medrano Jr., OTR
• Dora Luz Medrano, R.N.
• Jose Medrano
• Maria Medrano
• Minerva Medrano, MD

• Occupational Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.