Active NPI
Eliana I Castaneda, OT
- Occupational Therapist
- Amarillo, TX
National Provider Identifier
1396482907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104369
- Practice address
- 4557 S Western St Ste B4
Amarillo, TX 79109-8044 - Phone
- (833) 233-7875
- Fax
- (801) 206-3059
- NPI assigned
- May 16, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104369 | TX | Primary |
Addresses
Primary practice location
4557 S Western St Ste B4
Amarillo, TX 79109-8044
Mailing address
10610 Inwood Dr
Houston, TX 77042-2329
Phone (713) 826-6763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Texas Medical Branch at Galveston, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4557 S Western St
Suite B4
Amarillo, TX 79109-8044
Phone (833) 233-7875
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104369 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Occupational Therapist | Current | Accepting new patients |
Locations
4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
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": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1396482907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10610 INWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422329",
"telephone_number": "713-826-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4557 S WESTERN ST STE B4",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791098044",
"telephone_number": "833-233-7875",
"fax_number": "801-206-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "ELIANA",
"middle_name": "I",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "104369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.