Paul Revere Fletcher III, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31006771A Issued in IN

Practice address

5050 Lincoln Ave
Evansville, IN 47715-7390

Phone

(844) 553-0199

NPI assigned

Jan 23, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1003370024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 E POWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142228",
            "telephone_number": "812-480-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157390",
            "telephone_number": "844-553-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "PAUL",
        "middle_name": "REVERE",
        "name_suffix": "III",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006771A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonali Walia Flannagan, MD
• Amanda Fleck, MA, CCC-SLP
• Gregory A Fleck, AGACNP-BC
• Alia Fleming, RBT
• Alyssa Fletcher
• Tresa Fletcher, MSW
• Gene Flick, MD
• Katelyn F Flick, MD
• Janet Marlette Flikke, LSW, BCBA
• Arturo Jonas Flores, MASTERS

• Occupational Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.