Individual provider Active NPI

Kelly Caviness, OT

  • Occupational Therapist
  • Decatur, TX
National Provider Identifier
1063826568
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103995 Issued in TX
Practice address
6344 S FM 730
Decatur, TX 76234-8702
Phone
(940) 393-1851
NPI assigned
Jun 12, 2014
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 103995 TX Primary

Addresses

Primary practice location

6344 S FM 730
Decatur, TX 76234-8702

Mailing address

6344 S FM 730
Decatur, TX 76234-8702
Phone (940) 393-1851

Other practice location 1

3840 Hulen St Ste 100
Fort Worth, TX 76107-7269
Phone (817) 569-4300

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

LicenseStateTypeSpecialty
103995TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Health My Resources of Tarrant County 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1063826568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 S FM 730",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762348702",
            "telephone_number": "940-393-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 S FM 730",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762348702",
            "telephone_number": "940-393-1851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Hulen St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077269",
            "country_code": "US",
            "telephone_number": "817-569-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVINESS",
        "first_name": "KELLY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "103995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.