Individual provider Active NPI

Debra Dawn Kildahl, OTR

  • Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1225150220
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-004946 Issued in AZ
Practice address
2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone
(520) 543-6100
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-004946 AZ Primary

Addresses

Primary practice location

2200 S Houghton Rd
Tucson, AZ 85748-7632

Mailing address

10114 E Canyon Meadow Dr
Tucson, AZ 85747-5505
Phone (520) 694-6672

Other practice location 1

10350 E Drexel Rd Unit 120
Tucson, AZ 85747-9409
Phone (520) 784-6576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303001379 AZ Practitioner - Occupational Therapist in Private Practice 3779065446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10350 E Drexel Rd
Unit 120
Tucson, AZ 85747-9409
Phone (520) 784-6560

6320 N la Cholla Blvd
Suite 200
Tucson, AZ 85741-3549
Phone (520) 382-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-004946AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Occupational Therapist CurrentSince Dec 31, 2025 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Occupational Therapist CurrentSince Dec 31, 2025 Accepting new patients

Locations

10350 E Drexel Rd
Unit 120
Tucson, AZ 85747
Phone (520) 420-2280

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1225150220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10114 E CANYON MEADOW DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475505",
            "telephone_number": "520-694-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487632",
            "telephone_number": "520-543-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 E Drexel Rd Unit 120",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479409",
            "country_code": "US",
            "telephone_number": "520-784-6576",
            "fax_number": "520-784-6523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILDAHL",
        "first_name": "DEBRA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-004946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.