Janejira Xayavong, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

216420 Issued in TX

Practice address

15600 San Pedro Ave Ste 305
San Antonio, TX 78232-3739

Phone

(210) 582-5840

NPI assigned

Sep 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1851014104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 COLUMBIA DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082368",
            "telephone_number": "702-913-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 SAN PEDRO AVE STE 305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323739",
            "telephone_number": "210-582-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XAYAVONG",
        "first_name": "JANEJIRA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": "439766",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "216420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Christine Wyrick, PH. D.
• Rodney Spencer Wyrick, D.D.S.
• Joseph Wysoki, DO
• X-Cel Pediatric Home Health, LLC
• X&L Company LLC
• Xcell Laboratories LLC
• Elly M.J. Xenakis, M.D.
• Xeras Medical Technologies, Inc.
• Cynthia Xiao, IONM
• Bowen Xie, MD

• Occupational Therapy Assistant in San Antonio, TX
• Providers in San Antonio, 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 Sep 21, 2022; 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.