Individual provider Active NPI

Annabel Cortez Castillo, OTR, CHT

  • Occupational Therapist
  • Mission, TX
National Provider Identifier
1790808541
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
108003 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 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

IdentifierTypeStateIssuer
159487102MedicaidTX

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
108003TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.