Individual provider Active NPI

Timothy Policarpio, OTR

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1558023242
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120479 Issued in TX
Practice address
1200 Binz St Ste 630
Houston, TX 77004-6944
Phone
(832) 648-3350
NPI assigned
Oct 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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 120479 TX Primary

Addresses

Primary practice location

1200 Binz St Ste 630
Houston, TX 77004-6944

Mailing address

1111 Justice Ave
Lubbock, TX 79416-5942
Phone (806) 319-3835

Other practice location 1

1600 Joseph Dr
Bryan, TX 77802-1502
Phone (979) 821-7567

Other practice location 2

4825 Alliance Blvd Ste 200
Plano, TX 75093-5504
Phone (469) 606-1378

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL .

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
120479TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bir JV LLP PastSince Oct 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1558023242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 JUSTICE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165942",
            "telephone_number": "806-319-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 630",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046944",
            "telephone_number": "832-648-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Joseph Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778021502",
            "country_code": "US",
            "telephone_number": "979-821-7567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4825 Alliance Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935504",
            "country_code": "US",
            "telephone_number": "469-606-1378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLICARPIO",
        "first_name": "TIMOTHY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-10",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "4825 Alliance Blvd Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.