Luis S Baeza, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

210926 Issued in TX

Practice address

10880 Edgemere Blvd
El Paso, TX 79935-1306

Phone

(915) 590-7800

NPI assigned

Jan 31, 2019

Last updated

Jan 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1952866261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LA PUESTA DR APT 271",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799328513",
            "telephone_number": "915-207-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 EDGEMERE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351306",
            "telephone_number": "915-590-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZA",
        "first_name": "LUIS",
        "middle_name": "S",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizeth Carolina Baeza Garcia
• Abigail Baeza, PT
• Andres Baeza, NP
• Carina Baeza
• Jesus Baeza, MD
• Ramona Baeza, FNP-C
• Gisa Bagby, PT
• Michael Damien Bagg, M.D.
• Arya Bagherpour
• Alireza Bahadorkhan, DO

• Occupational Therapy Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.