Kathy Ann Perez, COTA

Individual provider Active NPI Occupational Therapy Assistant · Donna, TX

NPI 1700523966 · NPPES record last updated May 18, 2022

Key facts

NPI
1700523966
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
208753 (TX)
Practice address
128 N Salinas Blvd
Donna, TX 78537-2926
Phone
(956) 464-1002
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
208753TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Care Rehabilitation Center LLC Current
since May 22, 2022
Accepting new patients

Locations

128 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-1002

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
224Z00000X 208753 TX Yes

Addresses

Primary practice location

128 N Salinas Blvd
Donna, TX 78537-2926

Mailing address

128 N Salinas Blvd
Donna, TX 78537-2926
Phone (956) 464-1002

Other providers in Donna, TX

All providers in Donna, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.