Individual provider Active NPI

Paula Phillips, OT

  • Occupational Therapist
  • Plano, TX
National Provider Identifier
1942758685
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110260 Issued in TX
Practice address
3800 W Park Blvd
Plano, TX 75075-3542
Phone
(972) 612-1700
NPI assigned
Sep 12, 2016
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 110260 TX Primary

Addresses

Primary practice location

3800 W Park Blvd
Plano, TX 75075-3542

Mailing address

1719 Angel Pkwy Ste 400
# 156
Allen, TX 75002-2697
Phone (469) 629-3762

Other practice location 1

1719 Angel Pkwy Ste 400
# 156
Allen, TX 75002-2697
Phone (469) 629-3762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821002459 TX Practitioner - Occupational Therapist in Private Practice 7113427485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1719 Angel Pkwy
Suite 400
Allen, TX 75002-2697

399 Fairlanding Ave
Fairview, TX 75069-6818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110260TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calibrating Lyfe LLC Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

1719 Angel Pkwy
Ste 400
Allen, TX 75002
Phone (469) 629-3762

5900 Balcones Dr
Ste 100
Austin, TX 78731

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1942758685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 ANGEL PKWY STE 400",
            "address_2": "# 156",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022697",
            "telephone_number": "469-629-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753542",
            "telephone_number": "972-612-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 Angel Pkwy Ste 400",
            "address_2": "# 156",
            "address_purpose": "LOCATION",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022697",
            "country_code": "US",
            "telephone_number": "469-629-3762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.