Individual provider Active NPI

Patrica Munoz, OTA

  • Occupational Therapy Assistant
  • Corpus Christi, TX
National Provider Identifier
1164199873
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
215428 Issued in TX
Practice address
4444 Corona Dr Ste 144
Corpus Christi, TX 78411-4322
Phone
(361) 854-1110
Fax
(855) 448-9769
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 215428 TX Primary

Addresses

Primary practice location

4444 Corona Dr Ste 144
Corpus Christi, TX 78411-4322

Mailing address

4444 Corona Dr Ste 144
Corpus Christi, TX 78411-4322
Phone (361) 854-1110

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

LicenseStateTypeSpecialty
215428TXMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Health Services, Inc. CurrentSince Sep 24, 2023 Accepting new patients
Epic Health Services, Inc. PastSince Sep 5, 2021 Accepting new patients

Locations

4444 Corona Dr
Ste 144
Corpus Christi, TX 78411
Phone (361) 854-1110

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1164199873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 144",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114322",
            "telephone_number": "361-854-1110",
            "fax_number": "855-448-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 144",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114322",
            "telephone_number": "361-854-1110",
            "fax_number": "855-448-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "PATRICA",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.