Individual provider Active NPI

Stephanie Duran Kriesel, OTR

  • Occupational Therapist
  • McKinney, TX
National Provider Identifier
1295597912
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118129 Issued in TX
Practice address
225 Lakeway TRL
McKinney, TX 75069-0986
Phone
(214) 548-9336
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 118129 TX Primary

Addresses

Primary practice location

225 Lakeway TRL
McKinney, TX 75069-0986

Mailing address

9929 Moccasin Creek LN
McKinney, TX 75071-6529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216002744 TX Practitioner - Occupational Therapist in Private Practice 7517301658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Double Talk Therapy PLLCGroup PAC ID 8820490352, 2 clinicians

Practice addresses (Care Compare)

225 Lakeway TRL
McKinney, TX 75069-0986
Phone (972) 454-9309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118129TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Double Talk Therapy, PLLC Occupational Therapist CurrentSince Feb 1, 2024 Accepting new patients

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1295597912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9929 MOCCASIN CREEK LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LAKEWAY TRL",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750690986",
            "telephone_number": "214-548-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIESEL",
        "first_name": "STEPHANIE",
        "middle_name": "DURAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.