MR. ALICE D PETRANEK (OTR/L) – Occupational Therapist, NPI 1699054692

MR. ALICE D PETRANEK (OTR/L) is a healthcare provider. based in Frisco, Texas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 112473 (NY). The NPI Number for MR. ALICE D PETRANEK (OTR/L) is 1699054692

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALICE D PETRANEK (OTR/L)
NPI
1699054692
Phone
(469) 888-5172
Address
2990 Legacy Dr
Enumeration Date
8 August 2011
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
1996 (30 years ago)
PAC ID
7618490137
Group Practice PAC ID
7113330879
Professional Enrollment ID
I20250325003864
Address ID
TX750023037AL650XXAVEX400

Contacts

Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for MR. ALICE D PETRANEK (OTR/L)

  • 2990 Legacy Dr

    Frisco, TX 750346066

    Phone: (469) 888-5172

    Type: Location

  • 225 E Ralph Hall Pkwy

    Rockwall, TX 750326815

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Location

  • 650 S Greenville Ave

    Allen, TX 750023037

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Location

  • 13001 Hillcrest Rd

    Dallas, TX 752405402

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Location

  • 2990 LEGACY DR

    FRISCO, TX 750346066

    Phone: (469) 888-5172

    Type: Mailing

  • 4101 W ARKANSAS LN

    ARLINGTON, TX 760161496

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250325003864IOccupational Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113330879View full group profile
NameSpecialtyState
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
Qualified Speech Language PathologistTX
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Where can patients find MR. ALICE D PETRANEK (OTR/L)'s NPI?
You can confirm MR. ALICE D PETRANEK (OTR/L) with NPI 1699054692; it appears in the national provider directory.
Is MR. ALICE D PETRANEK (OTR/L)'s NPI currently valid?
The extract we use shows MR. ALICE D PETRANEK (OTR/L) as active.
What does MR. ALICE D PETRANEK (OTR/L) treat or focus on?
Patients typically see MR. ALICE D PETRANEK (OTR/L) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. ALICE D PETRANEK (OTR/L)?
The page summarizes Frisco, Texas for MR. ALICE D PETRANEK (OTR/L); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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