Active NPI
Isaac Benigno Jauregui, OTA
- Occupational Therapy Assistant
- El Paso, TX
National Provider Identifier
1922755396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 214020
- Practice address
- 1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041 - Phone
- (915) 257-5782
- NPI assigned
- Mar 7, 2022
- 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 Therapy Assistant | 224Z00000X | 214020 | TX | Primary |
Addresses
Primary practice location
1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041
Mailing address
457 Emerald Bluff Dr
Horizon City, TX 79928-6470
Phone (915) 497-1888
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 |
|---|---|---|---|
| 214020 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Bird Pediatric Therapy Clinic, Inc | Current | Accepting new patients |
Locations
1514 N Zaragoza Rd
Ste B4
El Paso, TX 79936
Phone (915) 229-6659
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
- El Paso, TX
- NPI 1639538077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1922755396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 EMERALD BLUFF DR",
"city": "HORIZON CITY",
"state": "TX",
"postal_code": "799286470",
"telephone_number": "915-497-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 N ZARAGOZA RD STE B4",
"city": "EL PASO",
"state": "TX",
"postal_code": "799368041",
"telephone_number": "915-257-5782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAUREGUI",
"first_name": "ISAAC",
"middle_name": "BENIGNO",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "214020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- Jasvinder Badwalz DMD PLLC
- Jasvinder Badwalz DMD PLLC (Sol Smiles Dental)
- Jasvinder Badwalz DMD PLLC (Gateway Family Dental)
- Reinhard Roy Jauernek, M.D.
- Amber Marie Jauregui, OT
- Marieli Jauregui, RN, BSN
- Javier Carrillo, PHD. PLLC
- Jimmy Pentinio Javier, PT
- Jax0N Mak & Associates, Inc
- Jaxon Mak & Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.