Individual provider Active NPI

Eileen Rosendale Garza, OTR, PHD, ATP

  • Occupational Therapist
  • Magnolia, TX
National Provider Identifier
1841579430
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1005556 Issued in TX
Practice address
26327 Pin Oak Dr
Magnolia, TX 77354-2914
Phone
(281) 356-7559
Fax
(281) 356-7559
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1005556 TX Primary
Environmental Modification Occupational Therapist 225XE0001X 100556 TX
Low Vision Occupational Therapist 225XL0004X 100556 TX

Addresses

Primary practice location

26327 Pin Oak Dr
Magnolia, TX 77354-2914

Mailing address

26327 Pin Oak Dr
Magnolia, TX 77354-2914
Phone (281) 356-7559

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1005556TXMDOccupational Therapist
100556TXMDEnvironmental Modification Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1841579430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26327 PIN OAK DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542914",
            "telephone_number": "281-356-7559",
            "fax_number": "281-356-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26327 PIN OAK DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542914",
            "telephone_number": "281-356-7559",
            "fax_number": "281-356-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "EILEEN",
        "middle_name": "ROSENDALE",
        "credential": "OTR, PHD, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "1005556",
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "TX",
            "license": "100556",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "TX",
            "license": "100556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.