Active NPI
Timothy Pittman
- Occupational Therapist
- Orlando, FL
National Provider Identifier
1700264702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT16994
- Practice address
- 7380 W Sand Lake Rd
Suite 513
Orlando, FL 32819-5248 - Phone
- (407) 905-9300
- Fax
- (404) 905-9309
- NPI assigned
- May 11, 2015
- 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 | OT16994 | FL | Primary |
Addresses
Primary practice location
7380 W Sand Lake Rd
Suite 513
Orlando, FL 32819-5248
Mailing address
13506 Summerport Village Pkwy
Suite 410
Windermere, FL 34786-7366
Phone (407) 905-9300
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 |
|---|---|---|---|
| OT16994 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1700264702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13506 SUMMERPORT VILLAGE PKWY",
"address_2": "SUITE 410",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347867366",
"telephone_number": "407-905-9300",
"fax_number": "407-905-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7380 W SAND LAKE RD",
"address_2": "SUITE 513",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195248",
"telephone_number": "407-905-9300",
"fax_number": "404-905-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT16994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.