Kami Lynn Mastropoll

Individual provider Active NPI Occupational Therapy Assistant · Springtown, TX

NPI 1013899228 · NPPES record last updated Jul 21, 2025

Key facts

NPI
1013899228
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
217922 (TX)
Practice address
201 Williams Ward Rd
Springtown, TX 76082-6028
Phone
(817) 755-5116
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
217922TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 217922 TX Yes

Addresses

Primary practice location

201 Williams Ward Rd
Springtown, TX 76082-6028

Mailing address

233 Victoria Ave
Azle, TX 76020-4053
Phone (682) 429-3481

Other providers in Springtown, TX

All providers in Springtown, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.