Active NPI
Ulysses G Cabanog, OT
- Occupational Therapist
- Portland, TX
National Provider Identifier
1659530996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110945
- Practice address
- 401 Northshore Blvd
Portland, TX 78374-3800 - Phone
- (361) 777-0303
- NPI assigned
- Jun 2, 2008
- Sex
- Male
- 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 Therapist | 225X00000X | 110945 | TX | Primary |
Addresses
Primary practice location
401 Northshore Blvd
Portland, TX 78374-3800
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
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 |
|---|---|---|---|
| 110945 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1659530996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NORTHSHORE BLVD",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783743800",
"telephone_number": "361-777-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABANOG",
"first_name": "ULYSSES",
"middle_name": "G",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, TX
- Leola Brumley, MS., CCC-SLP
- Ora E Bruns
- Clarinda E. Buendia, PTA
- Harlan V Burhans, D.C.
- C H Wilkinson Physician Network (CHRISTUS Convenient Clinic)
- Jimmy Anthony Canales II, COTA
- Juan Miguel Capupus, FNP-C
- Carriage Inn Limited Partnership (Carriage Inn)
- CC Doctors Center Portland, PLLC (The Doctors Center Urgent Care)
- Alyssa Marie Ceja, PHARMACY TECH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.