Active NPI
Elsa Escobedo-Lopez, O.T.R,
- Hand Occupational Therapist
- Live Oak, TX
National Provider Identifier
1679713952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 102700
- Practice address
- 12732 Old Spanish TRL
Live Oak, TX 78233-2526 - Phone
- (210) 857-0317
- NPI assigned
- Feb 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 102700 | TX | Primary |
Addresses
Primary practice location
12732 Old Spanish TRL
Live Oak, TX 78233-2526
Mailing address
12732 Old Spanish TRL
Live Oak, TX 78233-2526
Phone (210) 857-0317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 825T90 | Other | TX | BLUE CROSS BLUE SHEILD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102700 | TX | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1679713952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12732 OLD SPANISH TRL",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782332526",
"telephone_number": "210-857-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12732 OLD SPANISH TRL",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782332526",
"telephone_number": "210-857-0317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBEDO-LOPEZ",
"first_name": "ELSA",
"credential": "O.T.R,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "102700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "825T90",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.