Individual provider Active NPI

Motolani Ayokunle Agbe-Davies

  • Occupational Therapist
  • Edinburg, TX
National Provider Identifier
1982989190
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113963 Issued in TX
Practice address
1415 W Owassa Rd
Edinburg, TX 78539-7178
Phone
(956) 781-8366
Fax
(866) 287-3592
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 113963 TX Primary

Addresses

Primary practice location

1415 W Owassa Rd
Edinburg, TX 78539-7178

Mailing address

1400 E Ridge Rd Ste 1
McAllen, TX 78503-1536
Phone (956) 686-2150

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
113963TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1982989190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD STE 1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031536",
            "telephone_number": "956-686-2150",
            "fax_number": "866-287-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W OWASSA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397178",
            "telephone_number": "956-781-8366",
            "fax_number": "866-287-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBE-DAVIES",
        "first_name": "MOTOLANI",
        "middle_name": "AYOKUNLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.