Active NPI
Melissa Ortiz, MOT, OTR
- Pediatric Occupational Therapist
- San Antonio, TX
National Provider Identifier
1679718480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 110968
- Practice address
- 3026 Hillcrest Dr # 200
San Antonio, TX 78201-7006 - Phone
- (210) 793-0877
- Fax
- (210) 568-4046
- NPI assigned
- Dec 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110968 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 110968 | TX | Primary |
Addresses
Primary practice location
3026 Hillcrest Dr # 200
San Antonio, TX 78201-7006
Mailing address
11703 Huebner Rd # 106-207
San Antonio, TX 78230-1201
Phone (210) 793-0877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110968 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Creation Therapy, Inc | Occupational Therapist | Current | Accepting new patients |
| Homecare Support Group, Inc. | Current | Accepting new patients | |
| Magnolia Medical Group Inc | Occupational Therapist | Past | Accepting new patients |
Locations
3026 Hillcrest Dr
Ste 200
San Antonio, TX 78201
Phone (210) 325-8076
3026 Hillcrest Dr
#200
San Antonio, TX 78201
Phone (210) 380-4679
11703 Huebner Rd
Ste 207
San Antonio, TX 78230
11703 Huebner Rd
#106207
San Antonio, TX 78230
Organizations & group practices 3
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.
-
- Occupational Therapist
- San Antonio, TX
- NPI 1679160345
-
- Home Health Agency
- San Antonio, TX
- NPI 1457542037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1679718480",
"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",
"fax_number": "210-568-4046"
},
{
"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",
"fax_number": "210-568-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "MELISSA",
"credential": "MOT, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110968",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "110968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.