CLYDON VISTA OTR
NPI 1710340435
Occupational Therapist - Pediatrics in Mcallen, TX
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
Specialties & Licenses
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).
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.
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.
MCALLEN, TX 78501
MCALLEN, TX 78501
MCALLEN, TX 78501
MCALLEN, TX 78501
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.