Lori Medina-ibarra, OT | |
3220 N Loop 1604 W, Shavano Park, TX 78231-4401 | |
(210) 819-5350 | |
Not Available |
Full Name | Lori Medina-ibarra |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3220 N Loop 1604 W, Shavano Park, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962151811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 118092 (Texas) | Primary |
Provider Name | Empowerme Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255900296 PECOS PAC ID: 2769723162 Enrollment ID: O20211006001271 |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972288728 PECOS PAC ID: 5193036432 Enrollment ID: O20231018000657 |
Mailing Address | Practice Location Address |
---|---|
Lori Medina-ibarra, OT 1211 Mount Riga, San Antonio, TX 78213-2035 Ph: () - | Lori Medina-ibarra, OT 3220 N Loop 1604 W, Shavano Park, TX 78231-4401 Ph: (210) 819-5350 |
Olivia Benavidez Garcia, M.S. OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4095 Dezavala Rd, Shavano Park, TX 78249 Phone: 210-493-8100 Fax: 210-493-8154 | |
Gayla Aguilar, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4095 De Zavala Rd, Shavano Park, TX 78249 Phone: 210-493-8100 Fax: 210-493-8154 | |
Mrs. Ivette Angelica Nienstedt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4095 Dezavala Rd, Shavano Park, TX 78249 Phone: 210-493-8100 Fax: 210-493-8154 | |
Shiryl Gaitan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4095 De Zavala Rd, Shavano Park, TX 78249 Phone: 210-493-8100 Fax: 210-493-8154 | |
Rehab Associates Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4095 De Zavala Rd, Shavano Park, TX 78249 Phone: 210-493-8100 Fax: 210-493-8154 | |
Tina Bhakta, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4095 De Zavala Rd, Shavano Park, TX 78249 Phone: 210-493-8100 Fax: 210-493-8154 |