Individual provider Active NPI

Phatima De'Rhonda McNary, OTR

  • Gerontology Occupational Therapist
  • Corpus Christi, TX
National Provider Identifier
1417577727
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
Practice address
5050 Eider Dr
Corpus Christi, TX 78413-2343
Phone
(361) 658-1439
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X Primary

Addresses

Primary practice location

5050 Eider Dr
Corpus Christi, TX 78413-2343

Mailing address

5050 Eider Dr
Corpus Christi, TX 78413-2343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714004124 TX Practitioner - Occupational Therapist in Private Practice 6901311430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Current Accepting new patients
Aegis Group Practice LLC CurrentSince Jun 11, 2025 Accepting new patients
Aegis Group Practice LLC CurrentSince Jun 11, 2025 Accepting new patients

Locations

800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181

Organizations & group practices 3

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1417577727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 EIDER DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 EIDER DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132343",
            "telephone_number": "361-658-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNARY",
        "first_name": "PHATIMA",
        "middle_name": "DE'RHONDA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "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 Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.