Theodore Tita

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

215780 Issued in TX

Practice address

2021 Shoaf Dr
Irving, TX 75061-2553

Phone

(972) 579-1919

NPI assigned

Jul 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1821989195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MACK LN",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681795",
            "telephone_number": "918-815-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SHOAF DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612553",
            "telephone_number": "972-579-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITA",
        "first_name": "THEODORE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "215780",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Jay Timon, M.D.
• Ryanne Tindell Akina, AU.D.
• Tip Services LLC
• Dora Luz Tirado, NP
• Terence K Tisdell, REGISTERED RBT
• Jenna Tittle
• TLC Advantage Home Health Care LLC
• Katelyn Tluczek
• TMC Pediatric & Urgent Care Center
• TMC Pediatric Urgent Care, LLC

• Physical Rehabilitation Occupational Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Physical Rehabilitation Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.