NPIMap

Carlos Brito, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Penitas, TX

NPI 1427281997 · NPPES record last updated Sep 4, 2018

Key facts

NPI
1427281997
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
213763 (TX)
Practice address
17924 Sabal Palm Dr Ste 3
Penitas, TX 78576
Phone
(956) 581-8060
Fax
(956) 581-8066
NPI assigned
Aug 31, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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
213763TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kidding Around Therapy, Inc. Past Accepting new patients
Victory Rehab, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 213763 TX Yes

Addresses

Primary practice location

17924 Sabal Palm Dr Ste 3
Penitas, TX 78576

Mailing address

6805 N 7TH St Apt 1
McAllen, TX 78504-1962
Phone (786) 300-9975

Other practice location 1

800 E Dove Ave Ste E
McAllen, TX 78504-2263
Phone (956) 618-1242

Other practice location 2

1035 E 4th Ave
Hialeah, FL 33010-4103
Phone (786) 360-3791

Other providers in Penitas, TX

All providers in Penitas, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.