Individual provider Active NPI

Alejandra Mireles, OTR

  • Occupational Therapist
  • El Paso, TX
National Provider Identifier
1801476536
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121769 Issued in TX
Practice address
2150 Trawood Dr Ste A100
El Paso, TX 79935-3383
Phone
(915) 333-0200
Fax
(915) 792-0576
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 121769 TX Primary

Addresses

Primary practice location

2150 Trawood Dr Ste A100
El Paso, TX 79935-3383

Mailing address

2150 Trawood Dr Ste A100
El Paso, TX 79935-3383
Phone (915) 333-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL clinicsource.com

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
121769TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1801476536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE A100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353383",
            "telephone_number": "915-333-0200",
            "fax_number": "915-792-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE A100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353383",
            "telephone_number": "915-333-0200",
            "fax_number": "915-792-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "ALEJANDRA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "clinicsource.com",
            "affiliation": "N",
            "address_1": "2150 Trawood Dr Ste A100",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799353383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.