Jazmin Balderas, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

124630 Issued in TX

Practice address

6168 Bentridge Dr
Hurst, TX 76054-2615

Phone

(817) 479-7019

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Monkey Ears, LLC

  • Audiologist
  • Southlake, TX
  • NPI 1831706175
  NPD
• Monkey Mouths, PLLC

  • Speech-Language Pathologist
  • Hurst, TX
  • NPI 1164613253

  Occupational Therapist

  NPD
• Little Sprouts Speech Therapy Center, Inc

  • Hearing and Speech Clinic/Center
  • Temecula, CA
  • NPI 1154764330
  NPD (past)

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1568044253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 BOMBAY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752353514",
            "telephone_number": "972-391-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6168 BENTRIDGE DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542615",
            "telephone_number": "817-479-7019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28765 Single Oak Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925903661",
            "country_code": "US",
            "telephone_number": "951-552-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "JAZMIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124630",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT21525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIEW",
            "identifier": "15002128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baker Family Eyecare, P.a.
• Alan W Baker, D.D.S
• Melissa Lynne Baker, MSN, APRN, PMHNP-BC
• Randall Baker
• Emmet Hezekiah Balch III, MD
• Rachel Ballard, MOT, OTR
• Doris Bangura
• Lynette Denise Baptiste
• Aydee Barrera, SLP
• David Joseph Barry III, M.A.

• Occupational Therapist in Hurst, TX
• Providers in Hurst, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.