Active NPI
Katherine Daniels, OTR
- Occupational Therapist
- Richardson, TX
National Provider Identifier
1194092403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119852
- Practice address
- 1111 W Shore Dr
Richardson, TX 75080 - Phone
- (972) 783-8000
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 119852 | TX | Primary |
Addresses
Primary practice location
1111 W Shore Dr
Richardson, TX 75080
Mailing address
5221 Sea Cove LN
Denton, TX 76208-5467
Phone (920) 267-2321
Other practice location 1
8111 Route 53
#20
Woodridge, IL 60517-3654
Phone (920) 267-2321
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 |
|---|---|---|---|
| 119852 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1194092403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 SEA COVE LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762085467",
"telephone_number": "920-267-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W SHORE DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-783-8000"
}
],
"practiceLocations": [
{
"address_1": "8111 Route 53",
"address_2": "#20",
"address_purpose": "LOCATION",
"city": "Woodridge",
"state": "IL",
"postal_code": "605173654",
"country_code": "US",
"telephone_number": "920-267-2321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELS",
"first_name": "KATHERINE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.