Ariadne Bazaldua, OTR

Individual provider Active NPI Occupational Therapist · Pharr, TX

NPI 1639636178 · NPPES record last updated Aug 7, 2022

Key facts

NPI
1639636178
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
109 W Eagle Ave
Pharr, TX 78577-9006
Phone
(210) 446-7667
NPI assigned
Feb 20, 2019
Reactivated
Aug 3, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Therapy Services, Inc. Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

109 W Eagle Ave
Pharr, TX 78577-9006

Mailing address

109 W Eagle Ave
Pharr, TX 78577-9006
Phone (210) 446-7667

Other practice location 1

6817 Academy Parkway West NE
Albuquerque, NM 87109-4405
Phone (505) 508-0505

Other providers in Pharr, TX

All providers in Pharr, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.