Individual provider Active NPI

Daniel Medrano Jr., OTR

  • Occupational Therapist
  • El Paso, TX
National Provider Identifier
1619560950
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117607 Issued in TX
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

Updated by the provider on Feb 17, 2021

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 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

Enrollment IDStateProvider typePAC IDDetails
I20260319003212 TX Practitioner - Occupational Therapist in Private Practice 6406330232 Reassigns benefits to 1 organization

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
Premier Hand TherapyGroup PAC ID 6709302417, 2 clinicians

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

LicenseStateTypeSpecialty
117607TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hand Therapy CurrentSince Feb 11, 2026 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.

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.

Verify at the official NPI Registry.