Active NPI
Priya A Patel
- Occupational Therapist
- Carrollton, TX
National Provider Identifier
1609195973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114739
- Practice address
- 4443 N Josey LN
Suite 100
Carrollton, TX 75010-4743 - Phone
- (817) 759-7913
- NPI assigned
- May 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 0000004148 | TN | |
| Occupational Therapist | 225X00000X | 114739 | TX | Primary |
Addresses
Primary practice location
4443 N Josey LN
Suite 100
Carrollton, TX 75010-4743
Mailing address
1424 Hemphill St
Fort Worth, TX 76104-4703
Phone (817) 759-7913
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 |
|---|---|---|---|
| 0000004148 | TN | MD | Physical Rehabilitation Occupational Therapist |
| 114739 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1609195973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 HEMPHILL ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044703",
"telephone_number": "817-759-7913",
"fax_number": "817-303-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4443 N JOSEY LN",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104743",
"telephone_number": "817-759-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRIYA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TN",
"license": "0000004148",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.