Kelley Renee Bodine, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109598 Issued in TX

Practice address

6109 Maple St
Houston, TX 77074-7449

Phone

(713) 668-6690

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• KDT, LLC

  dba Kids Developmental Therapy

  • Home Health Agency
  • Houston, TX
  • NPI 1699718239
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184833816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11039 SENTRY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655218",
            "telephone_number": "281-807-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 MAPLE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770747449",
            "telephone_number": "713-668-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODINE",
        "first_name": "KELLEY",
        "middle_name": "RENEE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bodied Chiropractic Clinic
• Bodies in Balance
• Bodies in Balance Medical Group PLLC
• Jason Michael Bodiford, MD
• James A Bodin, MD
• Diane Bodurka, M.D.
• Brittani Bodwin
• Body Analysis, Inc
• Body Art Medical & Surgical Weight Loss PLLC
• Body by Physical Therapy PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.