Active NPI
Kandy K Kobar, OTR
- Hand Occupational Therapist
- Grapevine, TX
National Provider Identifier
1053363721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 100811
- Practice address
- 2535 Ira E Woods Ave
Grapevine, TX 76051-3930 - Phone
- (817) 481-2121
- Fax
- (817) 488-4493
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | 100811 | TX | |
| Hand Occupational Therapist | 225XH1200X | 100811 | TX | Primary |
Addresses
Primary practice location
2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Mailing address
2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone (817) 481-2121
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100811 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrocrest Orthopaedics & Sports Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/20300/brand/1/csg/1/fhir/r4
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.
-
- Specialist
- Carrollton, TX
- NPI 1710030374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1053363721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 IRA E WOODS AVE",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513930",
"telephone_number": "817-481-2121",
"fax_number": "817-488-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 IRA E WOODS AVE",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513930",
"telephone_number": "817-481-2121",
"fax_number": "817-488-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBAR",
"first_name": "KANDY",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "TX",
"license": "100811",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "100811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.