Active NPI
Carla Fernanda Pena de la Paz, OTR
- Occupational Therapist
- Edinburg, TX
National Provider Identifier
1104602390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119372
- Practice address
- 2820 W Michaelangelo Dr
Edinburg, TX 78539-1402 - Phone
- (956) 558-6400
- NPI assigned
- Sep 5, 2023
- Last updated
- Nov 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 119372 | TX | Primary |
Addresses
Primary practice location
2820 W Michaelangelo Dr
Edinburg, TX 78539-1402
Mailing address
3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 694-5000
Other practice location 1
3003 San Esteban St
Mission, TX 78572-8621
Phone (956) 776-5991
Other names 1
- Mrs. Carla Fernanda Pena
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119372 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Squad, LLC | Current | Accepting new patients |
Locations
5215 N McColl Rd
McAllen, TX 78504
Phone (956) 533-4390
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793577600000",
"number": "1104602390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "361-694-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W MICHAELANGELO DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391402",
"telephone_number": "956-558-6400"
}
],
"practiceLocations": [
{
"address_1": "3003 San Esteban St",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785728621",
"country_code": "US",
"telephone_number": "956-776-5991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENA DE LA PAZ",
"first_name": "CARLA",
"middle_name": "FERNANDA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "PENA",
"middle_name": "FERNANDA",
"prefix": "MRS.",
"credential": "OTR",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.