Luis Cruz Jr., COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214687 Issued in TX

Practice address

4162 Wildcat Dr
Corpus Christi, TX 78410-5100

Phone

(361) 241-2954

NPI assigned

Aug 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1790265122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 SAN BLAS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784153335",
            "telephone_number": "361-945-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4162 WILDCAT DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105100",
            "telephone_number": "361-241-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Tene' Crosson, MSN, APRN, FNP-C
• Crossroads Counseling
• Crossroads Psychiatry
• Gwendolyn Renee Crowder
• Jose W. Gallo Cruz, P.T.
• Melisa Cruz, MS, CCC-SLP
• Natalie Nicole Cruz, LMT
• Sasha Ivanna Cruz, PHARMD
• Tiffany Desiree' Cruz, PTA
• Traci Cruz, MS,CCC-SLP

• Occupational Therapy Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.