Individual provider Active NPI

Nancy Abigail Ximenes, OTR

  • Occupational Therapist
  • San Marcos, TX
National Provider Identifier
1992273049
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
119543 Issued in TX
Practice address
101 Uhland Rd Ste 112
San Marcos, TX 78666-6681
Phone
(512) 396-0872
NPI assigned
Nov 7, 2018
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 119543 TX Primary

Addresses

Primary practice location

101 Uhland Rd Ste 112
San Marcos, TX 78666-6681

Mailing address

101 Uhland Rd Ste 112
San Marcos, TX 78666-6681
Phone (512) 396-0872

Other practice location 1

1351 E Bardin Rd Ste 160
Arlington, TX 76018-2136
Phone (817) 795-1291

Other names 1

  • Nancy Abigial Elliott Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nelliot@colehealth.com

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
119543TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Pediatric Therapy, LP. PastSince Feb 2, 2025 Accepting new patients

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, 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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1992273049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 UHLAND RD STE 112",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666681",
            "telephone_number": "512-396-0872",
            "fax_number": "512-441-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UHLAND RD STE 112",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666681",
            "telephone_number": "512-396-0872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 E Bardin Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760182136",
            "country_code": "US",
            "telephone_number": "817-795-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIMENES",
        "first_name": "NANCY",
        "middle_name": "ABIGAIL",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nelliot@colehealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "101 Uhland Rd Ste 112",
            "city": "San Marcos",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786666681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ELLIOTT",
            "middle_name": "ABIGIAL",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.