Individual provider Active NPI

Priti Pandit, OT

  • Occupational Therapist
  • Muncie, IN
National Provider Identifier
1043400922
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004433A Issued in IN
Practice address
3300 W Community Drive
Muncie, IN 47304-5457
Phone
(765) 751-2555
Fax
(765) 751-2694
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 31004433A IN
Occupational Therapist 225X00000X 31004433A IN Primary

Addresses

Primary practice location

3300 W Community Drive
Muncie, IN 47304-5457

Mailing address

3813 S. Madison Street
Muncie, IN 47302-5758
Phone (765) 751-3361

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
31004433AINMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1043400922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 S. MADISON STREET",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473025758",
            "telephone_number": "765-751-3361",
            "fax_number": "765-751-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W COMMUNITY DRIVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045457",
            "telephone_number": "765-751-2555",
            "fax_number": "765-751-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDIT",
        "first_name": "PRITI",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": "31004433A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004433A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.