Individual provider Active NPI

Saul Tercero Jr., OT

  • Pediatric Occupational Therapist
  • El Paso, TX
National Provider Identifier
1780185041
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
397135 Issued in TX
Practice address
1512 N Zaragoza Rd Ste C1
El Paso, TX 79936-8903
Phone
(915) 855-0601
Fax
(915) 855-0751
NPI assigned
Feb 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 397135 TX Primary

Addresses

Primary practice location

1512 N Zaragoza Rd Ste C1
El Paso, TX 79936-8903

Mailing address

1512 N Zaragoza Rd Ste C1
El Paso, TX 79936-8903
Phone (915) 855-0601

Other practice location 1

3551 Rich Beem Ste B
El Paso, TX 79938-4376
Phone (915) 303-5177

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
397135TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Pediatric Speech Therapy Services, PLLC Pediatrics PastSince Feb 4, 2024 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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1780185041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 N ZARAGOZA RD STE C1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368903",
            "telephone_number": "915-855-0601",
            "fax_number": "915-855-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N ZARAGOZA RD STE C1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368903",
            "telephone_number": "915-855-0601",
            "fax_number": "915-855-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Rich Beem Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799384376",
            "country_code": "US",
            "telephone_number": "915-303-5177",
            "fax_number": "915-303-5381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERCERO",
        "first_name": "SAUL",
        "name_suffix": "Jr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "397135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.