CLARISSA SAN JUAN OTR
NPI 1164212312
Occupational Therapist in Boerne, TX

Active since May 10, 2025
18 SCENIC LOOP RD # 200D, BOERNE, TX 78006(830) 755-0098 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2025, May 10, 2025 (2 updates tracked since 2025).

About Clarissa San Juan Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA SAN JUAN OTR (NPI 1164212312) is an individual occupational therapist in Boerne, Texas, licensed in Texas (116278) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1164212312
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCLARISSA SAN JUANCredential: OTR
Location Address18 SCENIC LOOP RD # 200DBoerne, TX 78006-8672
Mailing Address12523 Elemina TrlSan Antonio, TX 78249-4561 · (832) 531-5487
Sole ProprietorYes
Enumeration DateMay 10, 2025
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1164212312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in TX · 116278
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
18 SCENIC LOOP RD # 200D, Boerne, TX 78006

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarissa San Juan Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Clarissa San Juan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
18 SCENIC LOOP RD # 200D
Boerne, TX 78006
  • Reassigned Medicare billing, Texas enrollment
  • 20 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006
Occupational Therapist
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006
Speech-Language Pathologist
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006
Speech-Language Pathologist
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006
Speech-Language Pathologist
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006
Occupational Therapist
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006
Occupational Therapist
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006
Occupational Therapist
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarissa San Juan's NPI number?

The NPI number for Clarissa San Juan is 1164212312. It was assigned to this individual provider in the NPPES registry on May 10, 2025.

Where is Clarissa San Juan located?

Clarissa San Juan practices at 18 Scenic Loop Rd # 200D, Boerne, TX 78006. The listed phone number is (830) 755-0098.

What is Clarissa San Juan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Clarissa San Juan enrolled in Medicare?

Yes. Clarissa San Juan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clarissa San Juan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa San Juan reassigns Medicare benefits to Bluebonnet Pediatric Therapy LLC (Boerne, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarissa San Juan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clarissa San Juan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Clarissa San Juan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarissa San Juan was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.