Active NPI
Patrick Christian Traugott Jr.
- Occupational Therapist
- La Vernia, TX
National Provider Identifier
1982185575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105007
- Practice address
- 1217 Hillside Oaks Dr.
La Vernia, TX 78121 - Phone
- (210) 326-7781
- NPI assigned
- Aug 22, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 105007 | TX | Primary |
Addresses
Primary practice location
1217 Hillside Oaks Dr.
La Vernia, TX 78121
Mailing address
1217 Hillside Oaks Dr
La Vernia, TX 78121-4734
Phone (210) 326-7781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105007 | Other | TX | ECPTOTE |
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 |
|---|---|---|---|
| 105007 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1982185575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 HILLSIDE OAKS DR",
"city": "LA VERNIA",
"state": "TX",
"postal_code": "781214734",
"telephone_number": "210-326-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 HILLSIDE OAKS DR.",
"city": "LA VERNIA",
"state": "TX",
"postal_code": "78121",
"telephone_number": "210-326-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUGOTT",
"first_name": "PATRICK",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECPTOTE",
"identifier": "105007",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Vernia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.