Active NPI
Diana A Ibarra
- Occupational Therapy Assistant
- Weslaco, TX
National Provider Identifier
1558025114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 210017
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 210017 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Therapy Service LLC | Current | 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.
-
- Occupational Therapist
- McAllen, TX
- NPI 1952682056
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.