Individual provider Active NPI

Diana A Ibarra

  • Occupational Therapy Assistant
  • Weslaco, TX
National Provider Identifier
1558025114
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
210017 Issued in TX
Practice address
1010 S Airport Dr Ste B
Weslaco, TX 78596-6650
Phone
(956) 375-2045
Fax
(956) 375-2046
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 210017 TX Primary

Addresses

Primary practice location

1010 S Airport Dr Ste B
Weslaco, TX 78596-6650

Mailing address

2904 S Jackson Rd
McAllen, TX 78503-1870
Phone (956) 631-8646

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
210017TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wee Therapy Service LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

2904 S Jackson Rd
McAllen, TX 78503
Phone (956) 631-8646

1010 S Airport Dr
Ste B
Weslaco, TX 78596
Phone (956) 969-9532

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1558025114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 S JACKSON RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031870",
            "telephone_number": "956-631-8646",
            "fax_number": "956-631-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S AIRPORT DR STE B",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966650",
            "telephone_number": "956-375-2045",
            "fax_number": "956-375-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "DIANA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.