Active NPI
Craig Patterson
- Occupational Therapy Assistant
- Lakeland, FL
National Provider Identifier
1235557216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA10717
- Practice address
- 3952 Hampton Hills Dr
Lakeland, FL 33810-3841 - Phone
- (863) 899-7835
- NPI assigned
- Apr 7, 2014
- 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 Therapy Assistant | 224Z00000X | OTA10717 | FL | Primary |
Addresses
Primary practice location
3952 Hampton Hills Dr
Lakeland, FL 33810-3841
Mailing address
3952 Hampton Hills Dr
Lakeland, FL 33810-3841
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 |
|---|---|---|---|
| OTA10717 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1235557216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3952 HAMPTON HILLS DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3952 HAMPTON HILLS DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103841",
"telephone_number": "863-899-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "CRAIG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA10717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
- Pathways in Bloom Psychological Services, LLC
- Patiently Caring Service Providers LLC
- Patrice Luv and Care Service LLC
- Alyssa Maria Patterson
- Charlotte Kemp Patterson, LMHC
- Heather Patterson
- Kathryn S Patterson, LMT
- Stuart Drew Patterson, M.D.
- Paul M Romine PA North Lakeland Chiropractic
- John Paul, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.