Sarah Elizabeth Avila

Individual provider Active NPI Occupational Therapist · Cuero, TX

NPI 1407154776 · NPPES record last updated Apr 7, 2022

Key facts

NPI
1407154776
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
114084 (TX)
Practice address
960 E Broadway St
Cuero, TX 77954-2145
Phone
(361) 275-1900
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
114084TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Playhouse Rehab LP Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 114084 TX Yes

Addresses

Primary practice location

960 E Broadway St
Cuero, TX 77954-2145

Mailing address

102 Cobble Stone CT
Victoria, TX 77904-2811
Phone (956) 746-6304

Other practice location 1

5606 N Navarro St Ste 200
Victoria, TX 77904-1758
Phone (361) 220-6455

Other identifiers

IdentifierTypeStateIssuer
114084OtherTXSTATE LICENSE

Other providers in Cuero, TX

All providers in Cuero, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.