Active NPI
Phillip Joseph Pritzker Sr., OTR
- Occupational Therapist
- Decatur, TX
National Provider Identifier
1588129472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103996
- Practice address
- 605 W Mulberry St
Decatur, TX 76234-1263 - Phone
- (940) 627-5444
- NPI assigned
- Feb 5, 2019
- Last updated
- Feb 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103996 | TX | Primary |
Addresses
Primary practice location
605 W Mulberry St
Decatur, TX 76234-1263
Mailing address
13000 Jackson Rd
Krum, TX 76249-4039
Phone (214) 766-3457
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 |
|---|---|---|---|
| 103996 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1588129472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 JACKSON RD",
"city": "KRUM",
"state": "TX",
"postal_code": "762494039",
"telephone_number": "214-766-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W MULBERRY ST",
"city": "DECATUR",
"state": "TX",
"postal_code": "762341263",
"telephone_number": "940-627-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITZKER",
"first_name": "PHILLIP",
"middle_name": "JOSEPH",
"name_suffix": "Sr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-05",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.