Individual provider Active NPI

Paul Brandon Arthur, PHD, OTR/L

  • Occupational Therapist
  • High Springs, FL
National Provider Identifier
1891965901
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15162 Issued in FL
Practice address
20223 NW 175TH Ave
High Springs, FL 32643-9426
Phone
(317) 688-1499
NPI assigned
Mar 4, 2008
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT15162 FL Primary

Addresses

Primary practice location

20223 NW 175TH Ave
High Springs, FL 32643-9426

Mailing address

2107A Health Professions Building
Box 100164
Gainesville, FL 32610-0164
Phone (317) 688-8366

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
OT15162FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1891965901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107A HEALTH PROFESSIONS BUILDING",
            "address_2": "BOX 100164",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100164",
            "telephone_number": "317-688-8366",
            "fax_number": "317-688-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20223 NW 175TH AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326439426",
            "telephone_number": "317-688-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "PAUL",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "PHD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.