Kathryn Bouchillon, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111781 Issued in TX

Practice address

23225 Kingsland Blvd
Suite 600
Katy, TX 77494-2890

Phone

(281) 395-9090

Fax

(281) 395-9091

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spero Rehabilitation, LLCGroup PAC ID 5890988216, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spero Rehabilitation LLC

  • Physical Therapist
  • Katy, TX
  • NPI 1720227788

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Lynn Jackson, PT, PC

  • Physical Therapist
  • Austin, TX
  • NPI 1871779256
  NPD (past)
• Children'S Hospital Pediatric Associates, Inc

  • Pediatrics Physician
  • Boston, MA
  • NPI 1457306664
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1174749980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD",
            "address_2": "SUITE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942890",
            "telephone_number": "281-395-9090",
            "fax_number": "281-395-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD",
            "address_2": "SUITE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942890",
            "telephone_number": "281-395-9090",
            "fax_number": "281-395-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHILLON",
        "first_name": "KATHRYN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaidehi Borgaonkar
• Boripractik
• Dominique Giuliana Boschetti
• Brooklyn Bostic
• Judy Lee Bou Kheir, LPC
• Boudreaux Olson Enterprises, LLC
• Kristi Cole Bourque, M.S.
• Bove in Home Care
• Nicole Monique Bowden- Williams, LPC
• Christine E Bowden, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.