Active NPI
John Tengra, OTR
- Occupational Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111065
- Practice address
- 130 Spencer LN
San Antonio, TX 78201-2109 - Phone
- (210) 733-9363
- Fax
- (210) 733-9383
- NPI assigned
- Feb 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 111065 | TX | Primary |
Addresses
Primary practice location
130 Spencer LN
San Antonio, TX 78201-2109
Mailing address
9898 Colonnade Blvd Apt 11204
San Antonio, TX 78230-2277
Phone (210) 641-7911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111065 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services TX LLC | Occupational Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671
6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750
Organizations & group practices 3
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.
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- NPI 1710582580
Occupational Therapist
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1447429485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9898 COLONNADE BLVD APT 11204",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302277",
"telephone_number": "210-641-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SPENCER LN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782012109",
"telephone_number": "210-733-9363",
"fax_number": "210-733-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENGRA",
"first_name": "JOHN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-25",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.