Individual provider Active NPI

Yolanda Verduzco, OTR, CHT

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1588780258
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
109642 Issued in TX
Practice address
10555 Culebra Rd Ste 103
San Antonio, TX 78251-3667
Phone
(210) 888-6042
Fax
(210) 888-6045
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 109642 TX Primary

Addresses

Primary practice location

10555 Culebra Rd Ste 103
San Antonio, TX 78251-3667

Mailing address

21 Spurs LN
Suite 320
San Antonio, TX 78240-1634
Phone (210) 558-4263

Other practice location 1

21 Spurs Ln
Suite 320
San Antonio, TX 78240-1634
Phone (210) 558-4263

Other identifiers 4

IdentifierTypeStateIssuer
8T4509OtherTXBCBS
109642OtherTXOT STATE LICENSE
1252510001OtherTXMEDICARE NSC
Q24344OtherTXUPIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000499 TX Practitioner - Occupational Therapist in Private Practice 0941279327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10555 Culebra Rd
Suite 103
San Antonio, TX 78251-3667
Phone (210) 888-6042

Merit-based Incentive Payment System (MIPS)

Final score
63.18 of 100Reported as group
Quality
59.83
Improvement activities
20
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109642TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical & Sports Rehabilitation Limited Partnership CurrentSince Jan 16, 2024 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership CurrentSince Jan 16, 2024 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Hand Rehabilation Associates of Past Accepting new patients
The San Antonio Orthopaedic Group, LLP Past Accepting new patients
The San Antonio Orthopaedic Group, LLP Past Accepting new patients
Hand Rehabilitation Associates of San Antonio, Inc. Occupational Therapist Past Accepting new patients

Locations

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888

10555 Culebra Rd
Ste 103
San Antonio, TX 78251
Phone (210) 888-6042

Organizations & group practices 7

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1588780258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SUITE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401634",
            "telephone_number": "210-558-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 CULEBRA RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513667",
            "telephone_number": "210-888-6042",
            "fax_number": "210-888-6045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Spurs Ln",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401634",
            "country_code": "US",
            "telephone_number": "210-558-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDUZCO",
        "first_name": "YOLANDA",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T4509",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT STATE LICENSE",
            "identifier": "109642",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "1252510001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN NUMBER",
            "identifier": "Q24344",
            "state": "TX"
        }
    ],
    "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 Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.