New Creation Therapy, Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

NEW CREATION THERAPY, INC

Practice address

3026 Hillcrest Dr # 200
San Antonio, TX 78201-7006

Phone

(210) 793-0877

NPI assigned

Dec 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Ortiz, OTRNPI 1679718480

Title

Owner

Phone

(210) 793-0877

Specialties & licenses 5

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ortiz, MOT, OTR

  • Pediatric Occupational Therapist
  • San Antonio, TX
  • NPI 1679718480
  Medicare reassignment NPD Authorized official
• Shelby Marie Costabile, OT

  • Pediatric Occupational Therapist
  • San Antonio, TX
  • NPI 1598548539
  NPD
• Tara Sullivan

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1902772130
  NPD
• Nathan De Hoyos, MOT, OTR

  • Pediatric Occupational Therapist
  • San Antonio, TX
  • NPI 1902182124
  NPD (past)
• Deborah Lynn Groves, L.P.T.

  • Pediatric Physical Therapist
  • San Antonio, TX
  • NPI 1770706228

  Pediatrics

  NPD (past)
• Kelsey Hannan

  • Occupational Therapist
  • San Antonio, TX
  • NPI 1790390490
  NPD (past)
• Samantha Olivia Rodriguez, M.S., CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1376157735
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1679160345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11703 HUEBNER RD # 106-207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301201",
            "telephone_number": "210-793-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 HILLCREST DR # 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782017006",
            "telephone_number": "210-793-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CREATION THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-793-0877",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12175227",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.simplepractice.com/security/",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "EMR",
            "address_1": "3026 Hillcrest Dr # 200",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782017006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.simplepractice.com/security/",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "EMR",
            "address_1": "3026 Hillcrest Dr # 200",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782017006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• New Choices Treatment Center LLC
• New Creation Residential Care Homes I & II
• New Creations Health Care Inc
• New Culebra Pharmacy LLC (New Culebra Pharmacy)
• New Dawn Adult Daycare LLC
• New Dawn Hospice, Inc (Compassion Hospice of Texas)
• New Dawn Pharmacy 2 LLC

• Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.