Individual provider Active NPI

Isaac Benigno Jauregui, OTA

  • Occupational Therapy Assistant
  • El Paso, TX
National Provider Identifier
1922755396
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
214020 Issued in TX
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

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
214020TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Early Bird Pediatric Therapy Clinic, Inc CurrentSince Mar 13, 2022 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.

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

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.

Verify at the official NPI Registry.