Carla Fernanda Pena de la Paz, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

119372 Issued in TX

Practice address

3003 San Esteban St
Mission, TX 78572-8621

Phone

(956) 776-5991

NPI assigned

Sep 5, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Carla Fernanda Pena Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapy Squad, LLC

  • Home Health Agency
  • McAllen, TX
  • NPI 1972968543
  NPD

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1104602390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 SAN ESTEBAN ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728621",
            "telephone_number": "956-776-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA DE LA PAZ",
        "first_name": "CARLA",
        "middle_name": "FERNANDA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "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"
        }
    ]
}

• Pamela Parsons, M.A.
• Passages Counseling Group, PLLC
• Harold J Pean, MD
• Pediatric Consultants of South Texas LLC
• Pediatrics at Sharyland Plantation, P.a.
• Aaron Omar Pena, LPC
• Carlos Edwardo Pena
• Damian Pena
• Daniel Pena, COTA
• Gabriella Alexandra Pena

• Occupational Therapist in Mission, TX
• Providers in Mission, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.