Individual provider Active NPI

Timothy Daniel Hatters, OTR/L

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1033691274
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116073 Issued in TX
Practice address
11020 Dessau Rd
Austin, TX 78754-2053
Phone
(512) 873-2244
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 116073 TX Primary

Addresses

Primary practice location

11020 Dessau Rd
Austin, TX 78754-2053

Mailing address

1630 E 6TH St Apt 1219
Austin, TX 78702-3393
Phone (210) 355-4436

Other practice location 1

4501 Dudmar Dr
Austin, TX 78735-6913
Phone (512) 892-1131

Other practice location 2

11406 Rustic Rock Dr
Austin, TX 78750-3505
Phone (512) 335-5028

Other identifiers 1

IdentifierTypeStateIssuer
116073OtherTXTEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116073TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1033691274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E 6TH ST APT 1219",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023393",
            "telephone_number": "210-355-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 DESSAU RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542053",
            "telephone_number": "512-873-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Dudmar Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787356913",
            "country_code": "US",
            "telephone_number": "512-892-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11406 Rustic Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787503505",
            "country_code": "US",
            "telephone_number": "512-335-5028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTERS",
        "first_name": "TIMOTHY",
        "middle_name": "DANIEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "116073",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.