Active NPI
Kelly Frye, OTR/L
- Occupational Therapist
- Allen, TX
National Provider Identifier
1013453885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119842
- Practice address
- 915 W Exchange Pkwy Ste 100
Allen, TX 75013-7018 - Phone
- (214) 547-1571
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- No
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 | OT18191 | FL | |
| Occupational Therapist | 225X00000X | 119842 | TX | Primary |
Addresses
Primary practice location
915 W Exchange Pkwy Ste 100
Allen, TX 75013-7018
Mailing address
6150 Alma Rd Apt 2262
McKinney, TX 75070-7322
Phone (407) 577-4964
Other practice location 1
10358 Carlson Circle
Clermont, FL 34711-7884
Phone (407) 577-4964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019888000 | Medicaid | FL |
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 |
|---|---|---|---|
| OT18191 | FL | MD | Occupational Therapist |
| 119842 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ab Speech and Language Services of North Texas, PLLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Plano, TX
- NPI 1902818446
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1013453885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 ALMA RD APT 2262",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750707322",
"telephone_number": "407-577-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 W EXCHANGE PKWY STE 100",
"city": "ALLEN",
"state": "TX",
"postal_code": "750137018",
"telephone_number": "214-547-1571"
}
],
"practiceLocations": [
{
"address_1": "10358 Carlson Circle",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347117884",
"country_code": "US",
"telephone_number": "407-577-4964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRYE",
"first_name": "KELLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18191",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019888000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.