Active NPI
Bettina G Cisneros, OTR
- Pediatric Occupational Therapist
- Harlingen, TX
National Provider Identifier
1689869901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 112260
- Practice address
- 613 W Sesame Dr
Harlingen, TX 78550 - Phone
- (956) 399-4500
- NPI assigned
- Sep 10, 2007
- Last updated
- Aug 10, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 112260 | TX | Primary |
Addresses
Primary practice location
613 W Sesame Dr
Harlingen, TX 78550
Mailing address
PO Box 688
San Benito, TX 78586-0007
Phone (956) 361-5800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112260 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1689869901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 688",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785860007",
"telephone_number": "956-361-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 W SESAME DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "78550",
"telephone_number": "956-399-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "BETTINA",
"middle_name": "G",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "112260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
- Christina Elizabeth Cano-Gonzalez MD PA
- Austin Ryan Church, DDS
- Churchill Dialysis LLC (Valley Baptist Harlingen Dialysis)
- Joanne Chwajewski, MS, CCC/SLP
- Cima Hospice of the Valley East LP (CIMA Hospice)
- Elizabeth Cisneros
- Laura E Cisneros, MD
- Michael Anthony Cisneros Jr.
- Sharon Cisneros, RN
- Nancy Clark, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.