Individual provider Active NPI

Robert Palomo, COTA

  • Occupational Therapy Assistant
  • Corpus Christi, TX
National Provider Identifier
1336431634
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
209238 Issued in TX
Practice address
5633 S. Staples St.
Suite 500
Corpus Christi, TX 78411-4646
Phone
(361) 855-1352
Fax
(361) 855-1254
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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 209238 TX Primary

Addresses

Primary practice location

5633 S. Staples St.
Suite 500
Corpus Christi, TX 78411-4646

Mailing address

P O Box 61140
Corpus Christi, TX 78466-1140
Phone (361) 855-1352

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
209238TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Therapy Center, Inc. Past Accepting new patients
Legacy Therapy Center Inc. Past Accepting new patients

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1336431634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 61140",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661140",
            "telephone_number": "361-855-1352",
            "fax_number": "361-855-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 S. STAPLES ST.",
            "address_2": "SUITE 500",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114646",
            "telephone_number": "361-855-1352",
            "fax_number": "361-855-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMO",
        "first_name": "ROBERT",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "209238",
            "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 May 5, 2011; 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.