Mountaineer Occuptional Therapy Rehab

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113582 Issued in TX

Legal business name

MOUNTAINEER OCCUPTIONAL THERAPY REHAB

Practice address

742 S Bentsen Palm Dr
Mission, TX 78572-6271

Phone

(956) 240-7683

NPI assigned

Jan 3, 2016

Organization subpart

No

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

Authorized official

Name

Carina Alanis

Title

Owner

Phone

(956) 240-7683

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1801252192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 S BENTSEN PALM DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726271",
            "telephone_number": "956-240-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 S BENTSEN PALM DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726271",
            "telephone_number": "956-240-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER OCCUPTIONAL THERAPY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "ALANIS",
        "authorized_official_first_name": "CARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-240-7683"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2881831-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Mission, TX
• Providers in Mission, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.