Individual provider Active NPI

Vachonna S Durall, OTR

  • Occupational Therapist
  • Kyle, TX
National Provider Identifier
1295545820
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124247 Issued in TX
Practice address
4701 Ratcliffe Dr
Kyle, TX 78640-6436
Phone
(512) 920-6400
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 124247 TX Primary

Addresses

Primary practice location

4701 Ratcliffe Dr
Kyle, TX 78640-6436

Mailing address

715 W Slaughter LN Apt 713
Austin, TX 78748-2097
Phone (337) 967-6251

Other names 1

  • Shonna S Durall Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117003848 TX Practitioner - Occupational Therapist in Private Practice 0749719896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

4205 W Northwest Hwy
Parsons House Preston Hollow
Dallas, TX 75220-7802
Phone (469) 489-1536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1501 W Campbell Rd
Garland, TX 75044
Phone (469) 609-9153

4701 Ratcliffe Dr
Kyle, TX 78640
Phone (512) 920-4600

2760 W Walker St
League City, TX 77573
Phone (281) 967-7973

2022 State Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1295545820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W SLAUGHTER LN APT 713",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482097",
            "telephone_number": "337-967-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 RATCLIFFE DR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406436",
            "telephone_number": "512-920-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURALL",
        "first_name": "VACHONNA",
        "middle_name": "S",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHONNA",
            "last_name": "DURALL",
            "middle_name": "S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.