CLYDON VISTA OTR
NPI 1710340435
Occupational Therapist - Pediatrics in Mcallen, TX

Active since March 30, 2016
1201 N. JACKSON RD. STE. 900, MCALLEN, TX 78501(956) 661-0475(956) 621-7518 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Mar 30, 2016 (2 updates tracked since 2016).

About Clydon Vista Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDON VISTA OTR (NPI 1710340435) is an individual pediatrics provider in Mcallen, Texas, licensed in Texas (121947) and active in the NPI registry since March 2016. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1710340435
Entity TypeIndividualMale
Primary Taxonomy225XP0200X
Provider Legal NameCLYDON VISTACredential: OTR
Location Address1201 N. JACKSON RD. STE. 900Mcallen, TX 78501
Mailing Address1201 N. Jackson Rd. Ste. 900Mcallen, TX 78501 · (956) 661-0475 · Fax (956) 621-7518
Fax(956) 621-7518
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2016
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1710340435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
Licenses✔ Licensed in TX · 121947✔ Licensed in TX · 39446
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
1201 N. JACKSON RD. STE. 900, Mcallen, TX 78501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clydon Vista Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456835578
PECOS Enrollment IDI20260317003390

Medicare Billing Reassignment

Medicare enrollment records show Clydon Vista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
3305 NASSAU ST
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 135 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1201 N. JACKSON RD. STE. 900
MCALLEN, TX 78501
Speech-Language Pathologist
1201 N. JACKSON RD. STE. 900
MCALLEN, TX 78501
Speech-Language Pathologist
1201 N. JACKSON RD. STE. 900
MCALLEN, TX 78501
Speech-Language Pathologist
1201 N. JACKSON RD. STE. 900
MCALLEN, TX 78501
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1201 N. JACKSON RD. STE. 900
MCALLEN, TX 78501
Physical Therapy Assistant
1201 N. JACKSON RD. STE. 900
MCALLEN, TX 78501
Occupational Therapist
1201 N. JACKSON RD. STE. 900
MCALLEN, TX 78501
Speech-Language Pathologist
1201 N. JACKSON RD. STE. 900
MCALLEN, TX 78501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clydon Vista's NPI number?

The NPI number for Clydon Vista is 1710340435. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Clydon Vista located?

Clydon Vista practices at 1201 N. Jackson Rd. Ste. 900, Mcallen, TX 78501. The listed phone number is (956) 661-0475.

What is Clydon Vista's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

Is Clydon Vista enrolled in Medicare?

Yes. Clydon Vista is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clydon Vista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clydon Vista reassigns Medicare benefits to Providence Health & Services-Wa (Everett, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clydon Vista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clydon Vista accept?

Health plans from Ambetter Health and Providence Health Plan list Clydon Vista as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clydon Vista was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.