Stacie Deleon Arevalo, COTA
Individual provider Active NPI Occupational Therapy Assistant · Joshua, TX
NPI 1669993234 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1669993234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 213102 (TX)
- Practice address
- 310 E 18TH St
Joshua, TX 76058-3117 - Phone
- (817) 202-2500
- NPI assigned
- Jul 4, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213102 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Hands Big Hearts Pediatric Therapy Management Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 213102 | TX | Yes |
Addresses
Primary practice location
310 E 18TH St
Joshua, TX 76058-3117
Mailing address
4014 Bay Springs CT
Arlington, TX 76016-4744
Phone (817) 773-4554
Other practice location 1
404 Racquet Club Blvd
Bedford, TX 76022-6408
Phone (682) 738-3056
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213102 | Other | TX | TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS |
Other providers in Joshua, TX
- Ab2, PLLC
- Nelida Alejandra Arevalo-Braddick
- Arlington Orthopedic Associates PA
- Balance Diabetes Wellness LLC
- Best Value Pharmacies Inc
- Samantha Paige Blair
- Dale Marion Blodgett
All providers in Joshua, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.