Individual provider Active NPI

Kristina J. Shambry, OTR, MS, OTD

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1225798135
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24585 Issued in CA
Practice address
5900 Balcones Dr # 19517
Austin, TX 78731-4257
Phone
(512) 710-4798
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 026300 NY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 123308 TX
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 46TR01024100 NJ
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 24585 CA Primary

Addresses

Primary practice location

5900 Balcones Dr # 19517
Austin, TX 78731-4257

Mailing address

2316 Birdwell CV
Forney, TX 75126-6834
Phone (512) 710-4798

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521003997 TX Practitioner - Occupational Therapist in Private Practice 3971995549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Atlanta, GA 31193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24585CAMDClinical Social Worker
46TR01024100NJMDOccupational Therapist
026300NYMDOccupational Therapist
123308TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Multi-Specialty CurrentSince Nov 20, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Multi-Specialty CurrentSince Jul 25, 2023 Accepting new patients
Performance Medical Group of Somerset Multi-Specialty CurrentSince Jan 17, 2022 Accepting new patients
MDRS Spine & Sport, Inc Multi-Specialty CurrentSince Nov 20, 2023 Accepting new patients
Performance Medical of Watchung LLC Multi-Specialty CurrentSince Jan 17, 2022 Accepting new patients
Virtual Regenerative Rehabilitation, PLLC Multi-Specialty CurrentSince Feb 23, 2025 Accepting new patients
Eggleton & Langton Physical Therapy Management Services CurrentSince Jul 25, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Past Accepting new patients

Locations

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

1602A N Imperial Ave
El Centro, CA 92243
Phone (760) 299-7741

1611 W Main St
El Centro, CA 92243
Phone (760) 337-1144

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

10 Johnston Dr
Watchung, NJ 07069

5900 Balcones Dr
#19517
Austin, TX 78731
Phone (512) 710-4798

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1225798135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 BIRDWELL CV",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266834",
            "telephone_number": "512-710-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 19517",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "512-710-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBRY",
        "first_name": "KRISTINA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "OTR, MS, OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026300",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123308",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01024100",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.