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

MS. Ivy Mae Bunachita Carrillo, OTR/L

Individual provider Occupational Therapist · NPI 1487816427

MS. Ivy Mae Bunachita Carrillo, OTR/L is an Occupational Therapist in Private Practice in Celina, Texas. Qualified in 2019, 7 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
7
Licensed in
CA, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

200 N New Mexico Dr
Celina, TX 75009
Phone: (214) 851-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 122218 (TX)
Occupational Therapist Taxonomy 225X00000X · Licence 7849 (CA)

Record details

NPI number1487816427
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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