Active NPI
David Tudor, COTA
- Occupational Therapy Assistant
- Cleveland, TX
National Provider Identifier
1912395070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 210436
- Practice address
- 121 County Road 2202
Cleveland, TX 77327-2907 - Phone
- (281) 221-3889
- NPI assigned
- Dec 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 210436 | TX | Primary |
Addresses
Primary practice location
121 County Road 2202
Cleveland, TX 77327-2907
Mailing address
121 County Road 2202
Cleveland, TX 77327-2907
Phone (281) 221-3889
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 |
|---|---|---|---|
| 210436 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419379200000",
"number": "1912395070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 COUNTY ROAD 2202",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "773272907",
"telephone_number": "281-221-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 COUNTY ROAD 2202",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "773272907",
"telephone_number": "281-221-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUDOR",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-24",
"last_updated": "2014-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "210436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.