CLARISSA SAN JUAN OTR
NPI 1164212312
Occupational Therapist in Boerne, TX
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
Specialties & Licenses
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.
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.
BOERNE, TX 78006
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.