Active NPI
Veronica Olivares-Garza
- Occupational Therapist
- La Grange, TX
National Provider Identifier
1467840348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104974
- Practice address
- 260 West Live Oak St
La Grange, TX 78945 - Phone
- (979) 968-9394
- NPI assigned
- Dec 31, 2014
- Sex
- Female
- 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 | 104974 | TX | Primary |
Addresses
Primary practice location
260 West Live Oak St
La Grange, TX 78945
Mailing address
260 West Live Oak St
Lagrange, TX 78945
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 |
|---|---|---|---|
| 104974 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1467840348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 WEST LIVE OAK ST",
"city": "LAGRANGE",
"state": "TX",
"postal_code": "78945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 WEST LIVE OAK ST",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "78945",
"telephone_number": "979-968-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVARES-GARZA",
"first_name": "VERONICA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-31",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "104974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.