Individual ProviderJairy Anai MataOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2203 Babcock Rd, San Antonio, TX 78229-4412(210) 614-3911PECOS EnrollmentBased on the most recent information from CMS, provider Jairy Anai Mata does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1306553433Provider TypeIndividualFull NameMata, Jairy AnaiCredentialOTR/LGenderFemaleSole ProprietorNoEnumeration Date10/28/2022Last Updated10/28/2022Contact InformationPractice LocationPractice Address2203 Babcock Rd, San Antonio, TX 78229-4412Phone(210) 614-3911Fax(210) 625-3162Mailing LocationMailing Address2203 Babcock Rd, San Antonio, TX 78229-4412Phone(210) 614-3911Fax(210) 625-3162Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense123156Texas