Individual provider Active NPI

Sarah Adrianna Trevino, OTR

  • Occupational Therapist
  • Mission, TX
National Provider Identifier
1972032480
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117822 Issued in TX
Practice address
2504 E Griffin Pkwy
Mission, TX 78572-3348
Phone
(956) 581-7171
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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 117822 TX Primary

Addresses

Primary practice location

2504 E Griffin Pkwy
Mission, TX 78572-3348

Mailing address

5006 E Expressway 83 Unit B
Mercedes, TX 78570-5009
Phone (956) 565-9300

Other practice location 1

848 W Palma Vista Dr
Palmview, TX 78572-2144
Phone (956) 583-1276

Other identifiers 1

IdentifierTypeStateIssuer
117822OtherTXTEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS

Other names 1

  • Ms. Sarah Adrianna De Anda Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1972032480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 E EXPRESSWAY 83 UNIT B",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785705009",
            "telephone_number": "956-565-9300",
            "fax_number": "956-565-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723348",
            "telephone_number": "956-581-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 W Palma Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Palmview",
            "state": "TX",
            "postal_code": "785722144",
            "country_code": "US",
            "telephone_number": "956-583-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "SARAH",
        "middle_name": "ADRIANNA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "117822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DE ANDA",
            "middle_name": "ADRIANNA",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 17, 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.