Active NPI
Gopi Pankaj Patel, OTR/L
- Occupational Therapist
- Austin, TX
National Provider Identifier
1467062653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08714
- Practice address
- 3901 S Lamar Blvd Ste 160
Austin, TX 78704-7990 - Phone
- (512) 431-4721
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 08714 | MD | Primary |
Addresses
Primary practice location
3901 S Lamar Blvd Ste 160
Austin, TX 78704-7990
Mailing address
2011 Broadway St Ste 130
Pearland, TX 77581-5945
Phone (888) 449-0039
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 |
|---|---|---|---|
| 08714 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1467062653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 BROADWAY ST STE 130",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815945",
"telephone_number": "888-449-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 S LAMAR BLVD STE 160",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047990",
"telephone_number": "512-431-4721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "GOPI",
"middle_name": "PANKAJ",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08714",
"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 Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.