Active NPI
Timothy Policarpio, OTR
- Occupational Therapist
- Houston, TX
National Provider Identifier
1558023242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120479
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 120479 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bir JV LLP | Past | 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.
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- Dallas, TX
- NPI 1538465901
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.