Active NPI
Rhealine Edwinna Kilburn, COTA
- Occupational Therapist
- Plainview, TX
National Provider Identifier
1063686723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 209925
- Practice address
- 1301 Mesa Dr
Plainview, TX 79072-3905 - Phone
- (180) 629-6576
- NPI assigned
- Apr 14, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 209925 | TX | Primary |
Addresses
Primary practice location
1301 Mesa Dr
Plainview, TX 79072-3905
Mailing address
7109 Calumet Rd
Amarillo, TX 79106-2701
Phone (806) 353-1064
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 |
|---|---|---|---|
| 209925 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1063686723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 CALUMET RD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062701",
"telephone_number": "806-353-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MESA DR",
"city": "PLAINVIEW",
"state": "TX",
"postal_code": "790723905",
"telephone_number": "180-629-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILBURN",
"first_name": "RHEALINE",
"middle_name": "EDWINNA",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "209925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.