Healthcare Provider Details

I. General information

NPI: 1528474046
Provider Name (Legal Business Name): ALYSA CASTILLO HERRERA OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2014
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N COMMERCE CTR STE 2.201
MCALLEN TX
78501-3185
US

IV. Provider business mailing address

PO BOX 531968
HARLINGEN TX
78553-1968
US

V. Phone/Fax

Practice location:
  • Phone: 956-296-4820
  • Fax: 956-296-4777
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number116182
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: