Phil Mata Padilla, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

110317 Issued in TX

Practice address

20401 Whimbrel CT
Pflugerville, TX 78660-4261

Phone

(954) 608-0004

NPI assigned

Feb 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1679712608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 WHIMBREL CT",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604261",
            "telephone_number": "954-608-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 WHIMBREL CT",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604261",
            "telephone_number": "954-608-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "PHIL",
        "middle_name": "MATA",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-15",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11886",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Overton-Hadnot, LPC-ASSOCIATE
• Jackson Stewart Owen, D.D.S.
• Doricia Owens, COTA
• Jada Owens, RBT
• Nancy Correne Pachuca, M.D.
• Briana Joy Pallares, M.ED., BCBA, LBA
• Frederick Palmer
• Marie K. Pappas, D.C.
• Paradise Personal Assistance Services LLC
• Rachel Park

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.