Individual provider Active NPI

Patty Lynn Brown, OT

  • Occupational Therapist
  • Paris, TX
National Provider Identifier
1922462290
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105664 Issued in TX
Practice address
1675 NE Loop 286
Paris, TX 75460-2219
Phone
(903) 782-9922
Fax
(903) 782-1242
NPI assigned
Apr 12, 2016
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 105664 TX Primary

Addresses

Primary practice location

1675 NE Loop 286
Paris, TX 75460-2219

Mailing address

1675 NE Loop 286
Paris, TX 75460-2219
Phone (903) 782-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003825 TX Practitioner - Occupational Therapist in Private Practice 4183068570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Xzact Therapy and Aquatics LLC CurrentSince Jan 9, 2024 Accepting new patients
Covenant Hand Therapy PC Occupational Therapist PastSince Oct 4, 2002 Accepting new patients

Locations

1675 NE Loop 286
Paris, TX 75460
Phone (903) 782-9922

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1922462290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602219",
            "telephone_number": "903-782-9922",
            "fax_number": "903-782-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602219",
            "telephone_number": "903-782-9922",
            "fax_number": "903-782-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PATTY",
        "middle_name": "LYNN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.