Active NPI
Kellie Collier Gutierrez, OTR
- Occupational Therapist
- Leander, TX
National Provider Identifier
1104838283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103613
- Practice address
- 1403 Live Oak Rd
Leander, TX 78641 - Phone
- (512) 923-0333
- NPI assigned
- Aug 13, 2006
- 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 | 103613 | TX | Primary |
Addresses
Primary practice location
1403 Live Oak Rd
Leander, TX 78641
Mailing address
107 Bryson BND
Liberty Hill, TX 78642-9704
Phone (512) 923-0333
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 |
|---|---|---|---|
| 103613 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1104838283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 BRYSON BND",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "786429704",
"telephone_number": "512-923-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 LIVE OAK RD",
"city": "LEANDER",
"state": "TX",
"postal_code": "78641",
"telephone_number": "512-923-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "KELLIE",
"middle_name": "COLLIER",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.