Anthony Acosta, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Rowlett, TX
NPI 1861134033 · NPPES record last updated Apr 8, 2022
Key facts
- NPI
- 1861134033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 214576 (TX)
- Practice address
- 2218 Dana Dr
Rowlett, TX 75088-9418 - Phone
- (214) 609-3090
- NPI assigned
- Apr 8, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214576 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 214576 | TX | Yes |
Addresses
Primary practice location
2218 Dana Dr
Rowlett, TX 75088-9418
Mailing address
2218 Dana Dr
Rowlett, TX 75088-9418
Phone (214) 609-3090
NPI Registry JSON
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1861134033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 DANA DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750889418",
"telephone_number": "214-609-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 DANA DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750889418",
"telephone_number": "214-609-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "214576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in Rowlett, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.