Active NPI
Annabel Cortez Castillo, OTR, CHT
- Occupational Therapist
- Mission, TX
National Provider Identifier
1790808541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 108003
- Practice address
- 2504 E Griffin Pkwy
Mission, TX 78572-3348 - Phone
- (956) 519-2700
- Fax
- (956) 519-3935
- NPI assigned
- Apr 9, 2007
- Last updated
- Jun 12, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 108003 | TX | Primary |
Addresses
Primary practice location
2504 E Griffin Pkwy
Mission, TX 78572-3348
Mailing address
2308 E 27TH St
Mission, TX 78574-1917
Phone (956) 283-9442
Other practice location 1
1904 Tesoro St
Pharr, TX 78577-7580
Phone (956) 283-9442
Other practice location 2
2308 E 27th St
Mission, TX 78574-1917
Phone (956) 283-9442
Other practice location 3
7600 W Expressway 83
Mission, TX 78572-2063
Phone (956) 581-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159487102 | Medicaid | TX |
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 |
|---|---|---|---|
| 108003 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thera-Care Rehab Services, PLLC | Past | Accepting new patients | |
| Thera-Care Rehab Services, PLLC | Past | Accepting new patients | |
| Thera-Care Rehab Services, PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Mission, TX
- NPI 1164450771
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Mission, TX
- NPI 1548288202
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Pharr, TX
- NPI 1578591178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1790808541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 E 27TH ST",
"city": "MISSION",
"state": "TX",
"postal_code": "785741917",
"telephone_number": "956-283-9442",
"fax_number": "956-283-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 E GRIFFIN PKWY",
"city": "MISSION",
"state": "TX",
"postal_code": "785723348",
"telephone_number": "956-519-2700",
"fax_number": "956-519-3935"
}
],
"practiceLocations": [
{
"address_1": "1904 Tesoro St",
"address_purpose": "LOCATION",
"city": "Pharr",
"state": "TX",
"postal_code": "785777580",
"country_code": "US",
"telephone_number": "956-283-9442",
"fax_number": "956-283-9456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2308 E 27th St",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785741917",
"country_code": "US",
"telephone_number": "956-283-9442",
"fax_number": "956-283-9456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7600 W Expressway 83",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785722063",
"country_code": "US",
"telephone_number": "956-581-7171",
"fax_number": "956-581-7178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "ANNABEL",
"middle_name": "CORTEZ",
"credential": "OTR, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "108003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159487102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.