Tracey Pittman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2066271 Issued in TX

Practice address

6360 W Sam Houston Pkwy N Ste 200
Houston, TX 77041-5165

Phone

(210) 843-7411

NPI assigned

Oct 7, 2015

Sex

Female

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1891166542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940031",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770947031",
            "telephone_number": "210-843-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 W SAM HOUSTON PKWY N STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415165",
            "telephone_number": "210-843-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "TRACEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2066271",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT036905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorshena Morris Pittman, P.T.
• Evelyn Joyce Pittman, NURSE
• Henry Martez Pittman, MA
• Patricia Ann Pittman
• Shanakqua Pittman
• Haley Pitts
• Jason Pitts, CTRS
• Kathleen Pitts, NP
• Lakecia Pitts, MD
• Richard Edwin Pitts, M.D.

• Physical Therapy Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.