Individual provider Active NPI

Amadeo Andres Sanchez Jr., OTR

  • Occupational Therapist
  • Edinburg, TX
National Provider Identifier
1750633608
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114918 Issued in TX
Practice address
2805 Fountain Plaza Blvd
Edinburg, TX 78539-8031
Phone
(956) 316-2224
Fax
(956) 316-1717
NPI assigned
Oct 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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 114918 TX Primary

Addresses

Primary practice location

2805 Fountain Plaza Blvd
Edinburg, TX 78539-8031

Mailing address

900 N Ware Rd
McAllen, TX 78501-3517
Phone (956) 686-3437

Other identifiers 1

IdentifierTypeStateIssuer
173943501MedicaidTX

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
114918TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rysty Enterprises, Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1750633608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013517",
            "telephone_number": "956-686-3437",
            "fax_number": "956-686-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 FOUNTAIN PLAZA BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398031",
            "telephone_number": "956-316-2224",
            "fax_number": "956-316-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "AMADEO",
        "middle_name": "ANDRES",
        "name_suffix": "Jr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173943501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.