Individual provider Active NPI

Mayra Alejandra Pulido, OTR

  • Occupational Therapist
  • Mission, TX
National Provider Identifier
1942337753
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110763 Issued in TX
Practice address
7600 W Expressway 83
Mission, TX 78572-9561
Phone
(956) 581-7171
Fax
(956) 581-7178
NPI assigned
Feb 28, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 110763 TX Primary

Addresses

Primary practice location

7600 W Expressway 83
Mission, TX 78572-9561

Mailing address

1412 Elm Dr
Mission, TX 78572-4513
Phone (956) 581-7171

Other identifiers 1

IdentifierTypeStateIssuer
8T6210OtherTXBCBS WITH THERA-CARE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thera-Care Rehab Services, PLLC Past Accepting new patients
Thera-Care Rehab Services, PLLC Past Accepting new patients
Thera-Care Rehab Services, PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942337753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 ELM DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724513",
            "telephone_number": "956-581-7171",
            "fax_number": "956-581-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W EXPRESSWAY 83",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785729561",
            "telephone_number": "956-581-7171",
            "fax_number": "956-581-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIDO",
        "first_name": "MAYRA",
        "middle_name": "ALEJANDRA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WITH THERA-CARE",
            "identifier": "8T6210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.