NPIMap

Organization Active NPI

Oaferina Professional Corp.

Doing business as Alta Vista Wellness Center

  • Physical Therapist
  • Laredo, TX
National Provider Identifier
1801925755
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1076438 Issued in TX
Legal business name
OAFERINA PROFESSIONAL CORP.
Doing business as
Alta Vista Wellness Center
Practice address
414 Shiloh Dr Unit 9
Laredo, TX 78045-6745
Phone
(956) 791-8235
Fax
(956) 791-8239
NPI assigned
Mar 5, 2007
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Mr. Aleth Oaferina Sr., PTNPI 1235113754
Title
President
Phone
(956) 791-8235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1076438 TX Primary
Occupational Therapist 225X00000X 108458 TX

Addresses

Primary practice location

414 Shiloh Dr Unit 9
Laredo, TX 78045-6745

Mailing address

PO Box 451267
Laredo, TX 78045-0031
Phone (956) 791-8235

Other identifiers 1

IdentifierTypeStateIssuer
174055701MedicaidTX

Other names 1

  • ALTA VISTA WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1801925755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451267",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450031",
            "telephone_number": "956-791-8235",
            "fax_number": "956-791-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SHILOH DR UNIT 9",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456745",
            "telephone_number": "956-791-8235",
            "fax_number": "956-791-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAFERINA PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "OAFERINA",
        "authorized_official_first_name": "ALETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-791-8235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1076438",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174055701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTA VISTA WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.