Active NPI
Laura Lizeth Villarreal Vergara, COTA
- Occupational Therapy Assistant
- Laredo, TX
National Provider Identifier
1821463233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 213388
- Practice address
- 305 NE Loop 820; Business Tower 1
Suite 200; Hurst, TX 76053
Laredo, TX 76053 - Phone
- (817) 292-8787
- Fax
- (817) 789-6849
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 213388 | TX | Primary |
Addresses
Primary practice location
305 NE Loop 820; Business Tower 1
Suite 200; Hurst, TX 76053
Laredo, TX 76053
Mailing address
5910 San Bernardo Ave Apt 173
Laredo, TX 78041-2520
Phone (956) 774-2297
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 |
|---|---|---|---|
| 213388 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1821463233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 SAN BERNARDO AVE APT 173",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412520",
"telephone_number": "956-774-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NE LOOP 820; BUSINESS TOWER 1",
"address_2": "SUITE 200; HURST, TX 76053",
"city": "LAREDO",
"state": "TX",
"postal_code": "76053",
"telephone_number": "817-292-8787",
"fax_number": "817-789-6849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL VERGARA",
"first_name": "LAURA",
"middle_name": "LIZETH",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "213388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.