Individual provider Active NPI

Angel Flores

  • Occupational Therapist
  • Converse, TX
National Provider Identifier
1831801737
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122924 Issued in TX
Practice address
7585 Kitty Hawk Rd Ste 202
Converse, TX 78109-2820
Phone
(210) 236-0911
Fax
(210) 899-0912
NPI assigned
Dec 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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 122924 TX Primary

Addresses

Primary practice location

7585 Kitty Hawk Rd Ste 202
Converse, TX 78109-2820

Mailing address

7585 Kitty Hawk Rd Ste 202
Converse, TX 78109-2820
Phone (210) 236-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125000316 TX Practitioner - Occupational Therapist in Private Practice 5698146900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas United Rehab Therapy Specialists, LLCGroup PAC ID 0941621437, 3 clinicians

Practice addresses (Care Compare)

7585 Kitty Hawk Rd
Suite 202
Converse, TX 78109-2820
Phone (210) 236-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122924TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas United Rehab Therapy Specialists LLC CurrentSince Jan 9, 2023 Accepting new patients

Locations

7585 Kitty Hawk Rd
Ste 202
Converse, TX 78109
Phone (210) 236-0911

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1831801737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK RD STE 202",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092820",
            "telephone_number": "210-236-0911",
            "fax_number": "210-899-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK RD STE 202",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092820",
            "telephone_number": "210-236-0911",
            "fax_number": "210-899-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.