Emanuel Pena, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

211293 Issued in TX

Practice address

2530 Central Palm Dr
Rio Grande City, TX 78582-6648

Phone

(956) 487-3996

NPI assigned

Aug 14, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1801375472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 N EBONY AVE",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785848153",
            "telephone_number": "956-437-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CENTRAL PALM DR",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826648",
            "telephone_number": "956-487-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "EMANUEL",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Practice Association
• Pediatric Practice Association
• Pediatric Practice Association
• Julia Pena-Gonzalez, CCC-SLP
• Daniel Pena
• Janinna Pena, LCSW
• Karla Pena
• Sigifredo Perez III, PT, DPT
• Perfect Choice Health Care Services, Inc.
• Perfect Touch Home Health, Inc.

• All providers in Rio Grande City, TX
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.