Individual provider Active NPI

Corinne Robles-Meadows

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1780763458
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103396 Issued in TX
Practice address
9150 Huebner Rd
Suite 170
San Antonio, TX 78240-1558
Phone
(210) 694-5900
Fax
(210) 694-5910
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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 103396 TX Primary

Addresses

Primary practice location

9150 Huebner Rd
Suite 170
San Antonio, TX 78240-1558

Mailing address

2420 2ND St
Pleasanton, TX 78064-6752
Phone (210) 521-1347

Other identifiers 1

IdentifierTypeStateIssuer
103396OtherTXLICENSE#

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
103396TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hand & Upper Extremity Rehabilitation, P.C. PastSince Apr 30, 2007 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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1780763458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 2ND ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780646752",
            "telephone_number": "210-521-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD",
            "address_2": "SUITE 170",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401558",
            "telephone_number": "210-694-5900",
            "fax_number": "210-694-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES-MEADOWS",
        "first_name": "CORINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "103396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "103396",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.