Active NPI
Ernesto Samuel Perez, MOT
- Occupational Therapist
- El Paso, TX
National Provider Identifier
1457168114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114948
- Practice address
- 9650 Kenworthy St
El Paso, TX 79924-6011 - Phone
- (915) 751-0967
- NPI assigned
- Dec 16, 2024
- Last updated
- Dec 16, 2024
- 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 | 114948 | TX | Primary |
Addresses
Primary practice location
9650 Kenworthy St
El Paso, TX 79924-6011
Mailing address
9650 Kenworthy St
El Paso, TX 79924-6011
Phone (915) 750-0961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114948 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1457168114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 KENWORTHY ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799246011",
"telephone_number": "915-750-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 KENWORTHY ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799246011",
"telephone_number": "915-751-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ERNESTO",
"middle_name": "SAMUEL",
"credential": "MOT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.