Jerry J Hiracheta, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109569 Issued in TX

Practice address

2404 Yonkers St
Ste 11
Plainview, TX 79072-1820

Phone

(806) 296-2444

Fax

(806) 296-9709

NPI assigned

Jul 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Tech University Health Sciences Center University Associates

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1902832181
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679506190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY",
            "address_2": "STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073544",
            "telephone_number": "806-785-7676",
            "fax_number": "806-785-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 YONKERS ST",
            "address_2": "STE 11",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721820",
            "telephone_number": "806-296-2444",
            "fax_number": "806-296-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRACHETA",
        "first_name": "JERRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hale County Meals on Wheels
• Hale Emergency Medicine Associates, PA
• Krisi Kim Head, M.S., CCC-SLP
• Vivian Sosa Hernandez-Arellano, M.S., CCC-SLP
• Jessica Hinz
• Tobin Neil Holloway, O.D.
• Corrie Hon
• Rebecca Hopkins
• Kenneth Craig Horton, M.D.
• Hospitalist Medicine Physicians of Texas - Houston, PLLC

• Occupational Therapist in Plainview, TX
• Providers in Plainview, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.