Individual provider Active NPI

Kalea Irwin, OTR, MOT

  • Occupational Therapist
  • Amarillo, TX
National Provider Identifier
1225406267
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121126 Issued in TX
Practice address
1250 Wallace Blvd
Amarillo, TX 79106-1741
Phone
(806) 353-3596
Fax
(806) 353-4927
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 212162 TX
Occupational Therapist 225X00000X 121126 TX Primary

Addresses

Primary practice location

1250 Wallace Blvd
Amarillo, TX 79106-1741

Mailing address

3506 Bremond Dr
Amarillo, TX 79109-4014
Phone (806) 382-6845

Other identifiers 1

IdentifierTypeStateIssuer
121126OtherTXECPTOTE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420000048 TX Practitioner - Occupational Therapist in Private Practice 6305201609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
212162TXMDOccupational Therapy Assistant
121126TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Rehabilitation of Texas LLC Occupational Therapist CurrentSince Mar 9, 2023 Accepting new patients

Locations

4703 Bluebonnet Blvd
Baton Rouge, LA 70809
Phone (225) 661-2222

1510 S Van Buren St
Amarillo, TX 79101
Phone (806) 337-4000

400 W 14th Ave
Amarillo, TX 79101
Phone (806) 337-4000

Organizations & group practices 1

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1225406267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 BREMOND DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094014",
            "telephone_number": "806-382-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061741",
            "telephone_number": "806-353-3596",
            "fax_number": "806-353-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "KALEA",
        "credential": "OTR, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212162",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPTOTE",
            "identifier": "121126",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.