Unknown Individual – Occupational Therapy Assistant, NPI 1720590722

Unknown Individual is a healthcare provider. based in Fresno, Texas. specializing in Occupational Therapy Assistant. They hold a License No. 200894 (TX). The NPI Number for Unknown Individual is 1720590722

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720590722
Phone
(281) 455-4428
Address
3902 AERIAL BROOK TRL
Deactivation Date
30 October 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3902 AERIAL BROOK TRL

    FRESNO, TX 775458756

    Phone: (281) 455-4428

    Fax: (281) 431-0230

    Mailing address matches the actual address.

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

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

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

Insurance plans in this area (ZIP 77545)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1720590722 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Occupational Therapy Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Fresno, Texas may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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