NPIMap

Individual provider Active NPI

Jill Pittard

  • Occupational Therapist
  • Allen, TX
National Provider Identifier
1275954414
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113430 Issued in TX
Practice address
1101 Central Expy S
Suite 185
Allen, TX 75013-8062
Phone
(214) 509-6961
Fax
(214) 382-0943
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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 113430 TX Primary

Addresses

Primary practice location

1101 Central Expy S
Suite 185
Allen, TX 75013-8062

Mailing address

1101 Central Expy S
Suite 185
Allen, TX 75013-8062
Phone (214) 509-6961

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
113430TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Therapy Zone Past Accepting new patients
Kidz Therapy Zone LLC Past Accepting new patients

Organizations & group practices 2

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": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1275954414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CENTRAL EXPY S",
            "address_2": "SUITE 185",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138062",
            "telephone_number": "214-509-6961",
            "fax_number": "214-382-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CENTRAL EXPY S",
            "address_2": "SUITE 185",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138062",
            "telephone_number": "214-509-6961",
            "fax_number": "214-382-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTARD",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.