PRAVEEN PHILIP – Occupational Therapist, NPI 1811378797

PRAVEEN PHILIP is a healthcare provider. based in Pearland, Texas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 116956 (TX). The NPI Number for PRAVEEN PHILIP is 1811378797

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
PRAVEEN PHILIP
NPI
1811378797
Phone
(215) 410-7903
Address
12501 BROADWAY ST
Enumeration Date
16 June 2015
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7137981000
Graduation Year
2014 (12 years ago)
PAC ID
4880008267
Group Practice PAC ID
8022243971
Professional Enrollment ID
I20210126001532
Address ID
TX770304202HO7200XSTXX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for PRAVEEN PHILIP

  • 12501 BROADWAY ST

    PEARLAND, TX 775848999

    Phone: (215) 410-7903

    Type: Mailing

  • 12501 Broadway St

    Pearland, TX 775848999

    Phone: (215) 410-7903

    Type: Location

  • 11520 Northpointe Blvd

    Tomball, TX 77377

    Phone: (281) 955-2650

    Fax: (281) 955-5875

    Type: Location

  • 4700 SETON CENTER PKWY STE 115

    AUSTIN, TX 787595753

    Phone:

    Type: Mailing

  • 10425 HUFFMEISTER RD STE 320

    HOUSTON, TX 770653429

    Phone: (281) 955-2650

    Fax: (281) 955-5875

    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: 2021-01-26

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
I20210126001532IOccupational 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 77584)

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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: 8022243971View full group profile
NameSpecialtyState
-TX
Clinical PsychologistTX
Diagnostic RadiologyVA
U R O L O G YTX
-TX
-TX
General SurgeryAZ
H E M A T O L O G Y/ O N C O L O G YTX
Hematology, Internal MedicineWA
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to PRAVEEN PHILIP?
NPI 1811378797 is assigned to PRAVEEN PHILIP under the national enumeration system.
Is PRAVEEN PHILIP active in the national directory?
PRAVEEN PHILIP's public NPI profile is in an active state.
Can you summarize PRAVEEN PHILIP's specialty in plain language?
Clinically, the directory lists PRAVEEN PHILIP with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does PRAVEEN PHILIP practice in Texas?
You will see Pearland, Texas on file for PRAVEEN PHILIP alongside any extra practice locations.
What if Pearland, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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