Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clydon Vista, OTR

Individual provider Pediatric Occupational Therapist · NPI 1710340435

Clydon Vista, OTR is an Occupational Therapist in Private Practice in McAllen, Texas. Qualified in 2021, 5 years ago. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1201 N Jackson Rd Ste 900
McAllen, TX 78501
Phone: (956) 661-0475
Fax: (956) 621-7518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 121947 (TX)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 39446 (TX)

Record details

NPI number1710340435
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESAugust 14, 2025
Certification dateMay 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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