Individual provider Active NPI

Pranita Madhaorao Patki, MS OTR/L

  • Pediatric Occupational Therapist
  • Pleasanton, CA
National Provider Identifier
1699426643
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
14838 Issued in CA
Practice address
311 Ray St
Pleasanton, CA 94566-6621
Phone
(925) 399-5796
Fax
(925) 249-5121
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 14838 CA Primary

Addresses

Primary practice location

311 Ray St
Pleasanton, CA 94566-6621

Mailing address

311 Ray St
Pleasanton, CA 94566-6621
Phone (925) 399-5796

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Teamwork Speech Therapy Inc CurrentSince Jan 21, 2022 Accepting new patients
Teamwork Therapies CurrentSince Oct 21, 2025 Accepting new patients

Locations

311 Ray St
Pleasanton, CA 94566
Phone (925) 399-5489

Organizations & group practices 2

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1699426643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RAY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666621",
            "telephone_number": "925-399-5796",
            "fax_number": "925-249-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RAY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666621",
            "telephone_number": "925-399-5796",
            "fax_number": "925-249-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATKI",
        "first_name": "PRANITA",
        "middle_name": "MADHAORAO",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "14838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.