Keysa Lynne Huerta, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

113372 Issued in TX

Practice address

1513 NW 23Rd St
San Antonio, TX 78207-1305

Phone

(918) 361-4469

NPI assigned

Oct 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Keysa Lynne Johanson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1821493925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 NW 23RD ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071305",
            "telephone_number": "918-361-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 NW 23RD ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071305",
            "telephone_number": "918-361-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "KEYSA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "113372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEYSA",
            "last_name": "JOHANSON",
            "middle_name": "LYNNE",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Franchesca Brianna Huerta
• Gerardo Huerta, OTR, CHT
• Jesus Huerta Jr.
• Jose Orlando Huerta, ACNP
• Jubilee D Huerta, A.T.P.
• Lizzet Huerta, RN
• Manuel Huerta
• Monica Huerta
• Pamela Huerta
• Veronica Huerta

• Physical Rehabilitation Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Rehabilitation Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.