Individual provider Active NPI

Janet Ruth Alba, OTR

  • Occupational Therapist
  • El Paso, TX
National Provider Identifier
1679597199
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102949 Issued in TX
Practice address
120 Paragon LN Ste 218
El Paso, TX 79912-6317
Phone
(915) 584-5683
Fax
(915) 584-5657
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 102949 TX Primary

Addresses

Primary practice location

120 Paragon LN Ste 218
El Paso, TX 79912-6317

Mailing address

5384 Cory Dr
El Paso, TX 79932-3006
Phone (915) 588-1789

Other names 1

  • Janet Glick Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
102949TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Ranch of El Paso, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1679597199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 CORY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799323006",
            "telephone_number": "915-588-1789",
            "fax_number": "915-584-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARAGON LN STE 218",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126317",
            "telephone_number": "915-584-5683",
            "fax_number": "915-584-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBA",
        "first_name": "JANET",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "GLICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.