Active NPI
Jacquelyn Ileana Moya, COTA
- Occupational Therapy Assistant
- Edinburg, TX
National Provider Identifier
1659259257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 218851
- Practice address
- 2610 Cornerstone Blvd
Edinburg, TX 78539-9122 - Phone
- (956) 668-1818
- Fax
- (956) 668-1819
- NPI assigned
- Aug 22, 2025
- 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 | 218851 | TX | Primary |
Addresses
Primary practice location
2610 Cornerstone Blvd
Edinburg, TX 78539-9122
Mailing address
2610 Cornerstone Blvd
Edinburg, TX 78539-9122
Phone (956) 668-1818
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 |
|---|---|---|---|
| 218851 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1659259257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399122",
"telephone_number": "956-668-1818",
"fax_number": "956-668-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399122",
"telephone_number": "956-668-1818",
"fax_number": "956-668-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "JACQUELYN",
"middle_name": "ILEANA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "218851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.