Patrice McQueen, M.OT-R

Key facts

NPI

1124566922

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

118126 (TX)

Practice address

789 Justin Rd
Rockwall, TX 75087-4840

Phone

(972) 771-5731

Fax

(972) 771-5786

NPI assigned

Feb 1, 2017

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2017.

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1124566922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "972-771-5731",
            "fax_number": "972-771-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "972-771-5731",
            "fax_number": "972-771-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "PATRICE",
        "credential": "M.OT-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

• Michael McNeal
• Erika McNeill
• Danette McNew, DDS
• Richard Scott McPherson, DO
• Angela Rene McQueary, DOC OF PHYSICAL THER
• Madison Taylor McRae
• Molly Kathleen McStravick, M.D.
• Pamela A. McWhirter, LPC
• Stanley O. McWhirter, LPC
• Jeanna Lynn Mead, LMT

All providers in Rockwall, TX · Occupational Therapist in Texas