Active NPI
Saul Tercero Jr., OT
- Pediatric Occupational Therapist
- El Paso, TX
National Provider Identifier
1780185041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 397135
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 397135 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Pediatric Speech Therapy Services, PLLC | Pediatrics | 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.
-
- Speech-Language Pathologist
- El Paso, TX
- NPI 1215195979
Pediatrics
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.