Active NPI
Denise Pompa, OTR
- Occupational Therapist
- San Juan, TX
National Provider Identifier
1649392093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110985
- Practice address
- 1110 S Stewart Rd Ste D
San Juan, TX 78589-5168 - Phone
- (956) 283-7555
- Fax
- (956) 283-7557
- NPI assigned
- Apr 5, 2007
- Last updated
- Aug 31, 2010
- Sex
- Female
- 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 | 110985 | TX | Primary |
Addresses
Primary practice location
1110 S Stewart Rd Ste D
San Juan, TX 78589-5168
Mailing address
2608 Umbrellabird Ave
McAllen, TX 78504-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110985 | Other | TX | TX STATE BOARD OF OT |
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 |
|---|---|---|---|
| 110985 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehability Therapy Center LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Life Skills Therapy Center of San Juan
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- San Juan, TX
- NPI 1992945406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1649392093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 UMBRELLABIRD AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 S STEWART RD STE D",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785895168",
"telephone_number": "956-283-7555",
"fax_number": "956-283-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMPA",
"first_name": "DENISE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX STATE BOARD OF OT",
"identifier": "110985",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.