Individual provider Active NPI

Miranda Marie Marquez

  • Occupational Therapy Assistant
  • Irving, TX
National Provider Identifier
1750152229
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
217815 Issued in TX
Practice address
8222 N Belt Line Rd Ste 175
Irving, TX 75063-2276
Phone
(972) 241-9334
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 217815 TX Primary

Addresses

Primary practice location

8222 N Belt Line Rd Ste 175
Irving, TX 75063-2276

Mailing address

8222 N Belt Line Rd Ste 175
Irving, TX 75063-2276
Phone (972) 241-9334

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
217815TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pate Rehabilitation Endeavors, LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

8222 N Belt Line Rd
Ste 175
Irving, TX 75063
Phone (972) 241-9334

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.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1750152229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 N BELT LINE RD STE 175",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632276",
            "telephone_number": "972-241-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 N BELT LINE RD STE 175",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632276",
            "telephone_number": "972-241-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "MIRANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.