Active NPI
Chris Pruitt
- Occupational Therapist
- Davie, FL
National Provider Identifier
1184081044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT17053
- Practice address
- 5950 Toscana Dr
Apt 537
Davie, FL 33314-3478 - Phone
- (734) 306-8295
- NPI assigned
- Jan 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | OT17053 | FL | Primary |
Addresses
Primary practice location
5950 Toscana Dr
Apt 537
Davie, FL 33314-3478
Mailing address
5950 Toscana Dr Apt 537
Davie, FL 33314-3481
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453593600000",
"number": "1184081044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5950 TOSCANA DR APT 537",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 TOSCANA DR",
"address_2": "APT 537",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143478",
"telephone_number": "734-306-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "CHRIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-24",
"last_updated": "2016-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT17053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.