Active NPI
Alicia De Leon, OTA
- Occupational Therapy Assistant
- Brownsville, TX
National Provider Identifier
1629495064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 212172
- Practice address
- 35 Business Dr
Brownsville, TX 78521-4499 - Phone
- (956) 545-8379
- NPI assigned
- Mar 24, 2014
- 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 Therapy Assistant | 224Z00000X | 212172 | TX | Primary |
Addresses
Primary practice location
35 Business Dr
Brownsville, TX 78521-4499
Mailing address
33354 Falcon LN
San Benito, TX 78586-8431
Phone (956) 266-4499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212172 | Other | TX | OTA |
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 |
|---|---|---|---|
| 212172 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1629495064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33354 FALCON LN",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785868431",
"telephone_number": "956-266-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BUSINESS DR",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785214499",
"telephone_number": "956-545-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "ALICIA",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "212172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTA",
"identifier": "212172",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.