Active NPI
Douglas Tschoepe, OTR
- Occupational Therapist
- Mercedes, TX
National Provider Identifier
1922289172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109685
- Practice address
- 100 N Texas Ave Ste C
Mercedes, TX 78570-2729 - Phone
- (956) 514-9990
- Fax
- (956) 514-9996
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109685 | TX | Primary |
Addresses
Primary practice location
100 N Texas Ave Ste C
Mercedes, TX 78570-2729
Mailing address
1002 W Sam Houston Blvd Ste 10
Pharr, TX 78577-5198
Phone (956) 702-9882
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109685 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Outpatient Rehabilitation Center, LLC | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- McAllen, TX
- NPI 1508330713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1922289172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 W SAM HOUSTON BLVD STE 10",
"city": "PHARR",
"state": "TX",
"postal_code": "785775198",
"telephone_number": "956-702-9882",
"fax_number": "956-702-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N TEXAS AVE STE C",
"city": "MERCEDES",
"state": "TX",
"postal_code": "785702729",
"telephone_number": "956-514-9990",
"fax_number": "956-514-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSCHOEPE",
"first_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercedes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.