Active NPI
Patrick Pearson, ATP
- Other Technician
- Tyler, TX
National Provider Identifier
1588091664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123 - Phone
- (866) 858-3300
- Fax
- (888) 633-7575
- NPI assigned
- Oct 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | TX | Primary | |
| Customized Equipment (DME) | 332BC3200X | TX |
Addresses
Primary practice location
4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123
Mailing address
4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123
Phone (866) 858-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ATP 42658 | Other | RESNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1588091664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4413 TYLER PARK DR STE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757033123",
"telephone_number": "866-858-3300",
"fax_number": "888-633-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4413 TYLER PARK DR STE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757033123",
"telephone_number": "866-858-3300",
"fax_number": "888-633-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "PATRICK",
"credential": "ATP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-03",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESNA",
"identifier": "ATP 42658",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.