=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407609761
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PATRICE BRIGGS OTR/L, MOT, CLT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/08/2024
-----------------------------------------------------
Last Update Date | 04/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 595 ROUND ROCK WEST DR STE 501
-----------------------------------------------------
City | ROUND ROCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78681-5032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-677-1475
-----------------------------------------------------
Fax | 512-233-0647
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 595 ROUND ROCK WEST DR STE 501
-----------------------------------------------------
City | ROUND ROCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78681-5032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-677-1475
-----------------------------------------------------
Fax | 512-233-0647
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 120330
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------