Active NPI
Todd Novosad, OTR
- Occupational Therapist
- Austin, TX
National Provider Identifier
1982092854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105643
- Practice address
- 11612 Emerald Falls Dr
Austin, TX 78738-5327 - Phone
- (512) 750-0838
- NPI assigned
- Dec 31, 2014
- Last updated
- Dec 31, 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 Therapist | 225X00000X | 105643 | TX | Primary |
Addresses
Primary practice location
11612 Emerald Falls Dr
Austin, TX 78738-5327
Mailing address
11612 Emerald Falls Dr
Austin, TX 78738-5327
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1982092854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11612 EMERALD FALLS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787385327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11612 EMERALD FALLS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787385327",
"telephone_number": "512-750-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOSAD",
"first_name": "TODD",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-31",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.