NPIMap

Organization Active NPI

Education Service Center Region XV

  • Occupational Therapist
  • San Angelo, TX
National Provider Identifier
1396867966
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
EDUCATION SERVICE CENTER REGION XV
Practice address
612 S Irene St
San Angelo, TX 76903-6629
Phone
(325) 658-6571
Fax
(325) 653-0036
NPI assigned
Apr 4, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Brenda Moeller
Title
Administrative Assistant
Phone
(325) 658-6571

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Specialist 174400000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

612 S Irene St
San Angelo, TX 76903-6629

Mailing address

PO Box 5199
San Angelo, TX 76902-5199
Phone (325) 658-6571

National Provider Directory

National Provider Directory
Tax ID family
Education Service Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

132 Foster Dr
Del Rio, TX 78840
Phone (830) 774-1156

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1396867966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5199",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769025199",
            "telephone_number": "325-658-6571",
            "fax_number": "325-653-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S IRENE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036629",
            "telephone_number": "325-658-6571",
            "fax_number": "325-653-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATION SERVICE CENTER REGION XV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "325-658-6571"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.