Individual provider Active NPI

Jonathan Mireles, MSOT

  • Occupational Therapist
  • Mission, TX
National Provider Identifier
1649919622
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122724 Issued in TX
Practice address
508 W Griffin Pkwy Ste a
Mission, TX 78572-2224
Phone
(956) 583-1527
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 122724 TX Primary

Addresses

Primary practice location

508 W Griffin Pkwy Ste a
Mission, TX 78572-2224

Mailing address

418 Cherokee LN
Alamo, TX 78516-6875
Phone (956) 599-2647

Other practice location 1

8115 N Los Ebanos Rd STE 1
Mission, TX 78573-1670
Phone (956) 400-5234

Other identifiers 1

IdentifierTypeStateIssuer
1649919622MedicaidTX

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

LicenseStateTypeSpecialty
122724TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Kids LTD PastSince Jun 5, 2022 Accepting new patients
RV Rehabilitation Services, LLC Occupational Therapist PastSince Aug 10, 2025 Accepting new patients

Organizations & group practices 2

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1649919622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CHEROKEE LN",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785166875",
            "telephone_number": "956-599-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W GRIFFIN PKWY STE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722224",
            "telephone_number": "956-583-1527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8115 N Los Ebanos Rd STE 1",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785731670",
            "country_code": "US",
            "telephone_number": "956-400-5234",
            "fax_number": "956-435-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "JONATHAN",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649919622",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.