Kayli Chiasson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121305 Issued in TX

Practice address

19241 David Memorial Dr Ste 170
Shenandoah, TX 77385-8786

Phone

(936) 321-8300

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1093316010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 BISSONNET ST APT 1409",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051568",
            "telephone_number": "409-540-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19241 DAVID MEMORIAL DR STE 170",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858786",
            "telephone_number": "936-321-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIASSON",
        "first_name": "KAYLI",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdchiass@utmb.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19241 David Memorial Dr Ste 170",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773858786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles R. Sims, MD PA
• Maria Charron, M.D.
• Avais Murad Chatha, M.D.
• Claire Chauvin
• Carolyn Chen, MD
• Promise Chidi
• Margaret Caitlin Childress, B.S. AUD
• Jeffrey S Chimenti, MD
• Divya Chirumamilla, M.D.
• Caleb Sung Choe

• Occupational Therapist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.