Active NPI
Anissa Reynaud, OTR/L
- Occupational Therapist
- El Paso, TX
National Provider Identifier
1609495548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120808
- Practice address
- 2150 Trawood Dr Ste A100
El Paso, TX 79935-3383 - Phone
- (915) 333-0200
- Fax
- (915) 792-0576
- NPI assigned
- Apr 10, 2020
- Last updated
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 120808 | TX | Primary |
Addresses
Primary practice location
2150 Trawood Dr Ste A100
El Paso, TX 79935-3383
Mailing address
2150 Trawood Dr Ste A100
El Paso, TX 79935-3383
Phone (915) 333-0200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | clinicsource.com | ||
| CONNECT URL | loveot.theraplatform.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 120808 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1609495548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 TRAWOOD DR STE A100",
"city": "EL PASO",
"state": "TX",
"postal_code": "799353383",
"telephone_number": "915-333-0200",
"fax_number": "915-792-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 TRAWOOD DR STE A100",
"city": "EL PASO",
"state": "TX",
"postal_code": "799353383",
"telephone_number": "915-333-0200",
"fax_number": "915-792-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNAUD",
"first_name": "ANISSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120808",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "clinicsource.com",
"affiliation": "N",
"address_1": "2150 Trawood Dr Ste A100",
"city": "El Paso",
"state": "TX",
"country_code": "US",
"postal_code": "799353383",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "loveot.theraplatform.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2150 Trawood Dr Ste A100",
"city": "El Paso",
"state": "TX",
"country_code": "US",
"postal_code": "799353383",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.