Organization Active NPI

Innovative Occupational Therapy

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1477154011
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
INNOVATIVE OCCUPATIONAL THERAPY
Practice address
21750 Hardy Oak Blvd Ste 104
San Antonio, TX 78258-4946
Phone
(213) 787-4301
NPI assigned
Nov 2, 2020
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keyjonn Velazquez, MSNPI 1407921612
Title
Otr/L
Phone
(213) 787-4301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

21750 Hardy Oak Blvd Ste 104
San Antonio, TX 78258-4946

Mailing address

21750 Hardy Oak Blvd Ste 104
San Antonio, TX 78258-4946

National Provider Directory

National Provider Directory

Locations

1100 Lake Carolyn Pkwy
Irving, TX 75039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1477154011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21750 HARDY OAK BLVD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 HARDY OAK BLVD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584946",
            "telephone_number": "213-787-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "KEYJONN",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "213-787-4301",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.