Active NPI
Timothy Daniel Hatters, OTR/L
- Occupational Therapist
- Austin, TX
National Provider Identifier
1033691274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 116073
- Practice address
- 11020 Dessau Rd
Austin, TX 78754-2053 - Phone
- (512) 873-2244
- NPI assigned
- Sep 4, 2018
- Last updated
- Sep 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116073 | Other | TX | TEXAS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 116073 | TX | MD | Occupational 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.