Active NPI
Daniel Medrano Jr., OTR
- Occupational Therapist
- El Paso, TX
National Provider Identifier
1619560950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 117607
- Practice address
- 1575 Belvidere St
El Paso, TX 79912-2649 - Phone
- (915) 833-3229
- NPI assigned
- Feb 17, 2021
- Sex
- Male
- 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 Therapist | 225X00000X | 117607 | TX | Primary |
Addresses
Primary practice location
1575 Belvidere St
El Paso, TX 79912-2649
Mailing address
257 Pyrite Dr
El Paso, TX 79932-1631
Phone (915) 740-8654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5400 Suncrest Dr
Suite D1
El Paso, TX 79912-5615
Phone (915) 343-5099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117607 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Hand Therapy | Current | Accepting new patients |
Locations
5400 Suncrest Dr
Ste D1
El Paso, TX 79912
Phone (915) 343-5099
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.
-
- Hand Occupational Therapist
- El Paso, TX
- NPI 1710791959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1619560950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 PYRITE DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799321631",
"telephone_number": "915-740-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BELVIDERE ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799122649",
"telephone_number": "915-833-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 17, 2021; 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.