Individual provider Active NPI

Karen Pascua Reyes, OT

  • Occupational Therapist
  • Amarillo, TX
National Provider Identifier
1013239052
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
115049 Issued in TX
Practice address
4557 S Western St Unit B4
Amarillo, TX 79109-8044
Phone
(801) 440-5592
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 115049 TX Primary

Addresses

Primary practice location

4557 S Western St Unit B4
Amarillo, TX 79109-8044

Mailing address

2021 E Village Green Cir Ste C
Draper, UT 84020-5500
Phone (801) 440-5592

Other names 1

  • Karen C Pascua Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621003629 TX Practitioner - Occupational Therapist in Private Practice 2668607862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheelchair Clinic IncGroup PAC ID 0941613590, 51 clinicians

Practice addresses (Care Compare)

4557 S Western St
Suite B4
Amarillo, TX 79109-8044
Phone (833) 233-7875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Wheelchair Clinic Inc Occupational Therapist CurrentSince May 1, 2023 Accepting new patients
Physical Therapy, Inc Past Accepting new patients

Locations

4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592

2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1013239052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E VILLAGE GREEN CIR STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205500",
            "telephone_number": "801-440-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4557 S WESTERN ST UNIT B4",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791098044",
            "telephone_number": "801-440-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "KAREN",
        "middle_name": "PASCUA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PASCUA",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.