Individual provider Active NPI

Matthew Patocki, OT

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1083256457
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116337 Issued in TX
Practice address
13785 Research Blvd Ste 125
Austin, TX 78750-1826
Phone
(512) 655-2149
NPI assigned
Oct 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 116337 TX Primary

Addresses

Primary practice location

13785 Research Blvd Ste 125
Austin, TX 78750-1826

Mailing address

13785 Research Blvd Ste 125
Austin, TX 78750-1826
Phone (512) 655-2149

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
116337TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Orthopedic Products LLC Current Accepting new patients

Locations

13785 Research Blvd
Ste 125
Austin, TX 78750
Phone (512) 577-5027

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1083256457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13785 RESEARCH BLVD STE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501826",
            "telephone_number": "512-655-2149",
            "fax_number": "866-306-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13785 RESEARCH BLVD STE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501826",
            "telephone_number": "512-655-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATOCKI",
        "first_name": "MATTHEW",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116337",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 17, 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.