Active NPI
Katherine Mary Dubberly, OTD, OTR
- Occupational Therapist
- Irving, TX
National Provider Identifier
1194595553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 123885
- Practice address
- 1333 Corporate Dr Ste 330
Irving, TX 75038-2583 - Phone
- (210) 309-0444
- NPI assigned
- Jan 8, 2024
- 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 | 123885 | TX | Primary |
Addresses
Primary practice location
1333 Corporate Dr Ste 330
Irving, TX 75038-2583
Mailing address
2313 Caddo Cir
Denton, TX 76210-3355
Phone (210) 309-0444
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 |
|---|---|---|---|
| 123885 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1194595553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 CADDO CIR",
"city": "DENTON",
"state": "TX",
"postal_code": "762103355",
"telephone_number": "210-309-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 CORPORATE DR STE 330",
"city": "IRVING",
"state": "TX",
"postal_code": "750382583",
"telephone_number": "210-309-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBBERLY",
"first_name": "KATHERINE",
"middle_name": "MARY",
"credential": "OTD, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "123885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.