Individual provider Active NPI

Erika S Cornejo

  • Occupational Therapist
  • Cypress, TX
National Provider Identifier
1679883557
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
109326 Issued in TX
Practice address
13611 Skinner Rd
Suite 250
Cypress, TX 77429-1018
Phone
(832) 593-6767
Fax
(832) 593-6868
NPI assigned
Oct 13, 2010
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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 109326 TX Primary

Addresses

Primary practice location

13611 Skinner Rd
Suite 250
Cypress, TX 77429-1018

Mailing address

13611 Skinner Rd
Suite 250
Cypress, TX 77429-1018
Phone (832) 593-6767

Other identifiers 1

IdentifierTypeStateIssuer
3287013-01MedicaidTX

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109326TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Emporium Inc Occupational Therapist PastSince Dec 16, 2012 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1679883557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291018",
            "telephone_number": "832-593-6767",
            "fax_number": "832-593-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291018",
            "telephone_number": "832-593-6767",
            "fax_number": "832-593-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO",
        "first_name": "ERIKA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287013-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.