Erik Richard Villescas, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2825 Issued in NM

Practice address

2628 Milam St
Huntsville, TX 77340-6615

Phone

(575) 805-7876

NPI assigned

Jun 5, 2012

Last updated

Jun 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1841551009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26565 US HIGHWAY 70 E",
            "city": "RUIDOSO DOWNS",
            "state": "NM",
            "postal_code": "883469583",
            "telephone_number": "575-805-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 MILAM ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773406615",
            "telephone_number": "575-805-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLESCAS",
        "first_name": "ERIK",
        "middle_name": "RICHARD",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "2825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utmb Regional Maternal and Child Health Program (UTMB RMCHP-Huntsville)
• Amy Van Horn
• Henry Mercer Vanderfin, DMD
• Julia N Venable
• Amanda Venta, PHD
• Khoa Tan Vo
• Paul Wachege
• Stacy L. Wagner, RD LD
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0285)
• Wal-Mart Stores Texas, LP (Vision Center 30-0285)

• Occupational Therapy Assistant in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.