Active NPI
Maria Herrera, COTA
- Pediatric Occupational Therapist
- Bedford, TX
National Provider Identifier
1700304458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 214309
- Practice address
- 404 Racquet Club Blvd
Bedford, TX 76022-6408 - Phone
- (817) 966-5155
- NPI assigned
- Sep 1, 2017
- Last updated
- Sep 1, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 214309 | TX | Primary |
Addresses
Primary practice location
404 Racquet Club Blvd
Bedford, TX 76022-6408
Mailing address
702 Brian Dr
Grand Prairie, TX 75052-6415
Phone (817) 966-5155
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 |
|---|---|---|---|
| 214309 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504224000000",
"number": "1700304458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 BRIAN DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750526415",
"telephone_number": "817-966-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 RACQUET CLUB BLVD",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226408",
"telephone_number": "817-966-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "MARIA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-01",
"last_updated": "2017-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "214309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
- Heritage Habilitation, Inc.
- Dominique Lenore Hernandez
- Jennifer Marie Hernandez
- Herrera Medical Group of Bedford & Associates (Your Family Medical)
- Herrera Medical Group PLLC (Regenerative Care Institute)
- Rodolfo Alberto Herrera, M.D.
- Deborah K. Herterich, FNP
- Heryn Donald (Heritage Habilitation)
- Shailah Hicks, PTA
- Elizabeth L Hill, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.