Individual provider Active NPI

Clarissa Chelsea Caballero, COTA

  • Occupational Therapy Assistant
  • Harlingen, TX
National Provider Identifier
1477196616
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
215947 Issued in TX
Practice address
2117 E Tyler Ave Ste B
Harlingen, TX 78550-7212
Phone
(956) 440-0580
Fax
(956) 440-0854
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 215947 TX Primary

Addresses

Primary practice location

2117 E Tyler Ave Ste B
Harlingen, TX 78550-7212

Mailing address

2407 Largo St
Weslaco, TX 78596-9113
Phone (956) 246-1916

Other practice location 1

711 W Nolana Ave Ste 204A
McAllen, TX 78504-3079
Phone (956) 803-0033

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

LicenseStateTypeSpecialty
215947TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Squad, LLC PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1477196616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 LARGO ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785969113",
            "telephone_number": "956-246-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 E TYLER AVE STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507212",
            "telephone_number": "956-440-0580",
            "fax_number": "956-440-0854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W Nolana Ave Ste 204A",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785043079",
            "country_code": "US",
            "telephone_number": "956-803-0033",
            "fax_number": "956-683-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "CLARISSA",
        "middle_name": "CHELSEA",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.