Active NPI
Kaelee Rae Kail, OTR
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1013307313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119951
- Practice address
- 17480 Dallas Pkwy # 400
Dallas, TX 75287 - Phone
- (469) 291-8500
- Fax
- (214) 547-7328
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 076166 | IA | |
| Occupational Therapist | 225X00000X | 119951 | TX | Primary |
Addresses
Primary practice location
17480 Dallas Pkwy # 400
Dallas, TX 75287
Mailing address
2617 Pendleton Dr
Cedar Falls, IA 50613-1786
Phone (651) 238-9487
Other practice location 1
217 E. Brener Ave
Waverly, IA 50677-3435
Phone (319) 352-4544
Other practice location 2
17480 Dallas Pkwy # 400
Dallas, TX 75287
Phone (469) 291-8500
Other names 1
- Ms. Kaelee Rae Kendrick
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 |
|---|---|---|---|
| 076166 | IA | MD | Occupational Therapist |
| 119951 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1013307313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 PENDLETON DR",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506131786",
"telephone_number": "651-238-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17480 DALLAS PKWY # 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "75287",
"telephone_number": "469-291-8500",
"fax_number": "214-547-7328"
}
],
"practiceLocations": [
{
"address_1": "217 E. Brener Ave",
"address_purpose": "LOCATION",
"city": "Waverly",
"state": "IA",
"postal_code": "506773435",
"country_code": "US",
"telephone_number": "319-352-4544",
"fax_number": "319-352-4655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17480 Dallas Pkwy # 400",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75287",
"country_code": "US",
"telephone_number": "469-291-8500",
"fax_number": "214-547-7328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAIL",
"first_name": "KAELEE",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "076166",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAELEE",
"last_name": "KENDRICK",
"middle_name": "RAE",
"prefix": "MS.",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.