Active NPI
Kimbra Ann Hunter, OTR
- Occupational Therapist
- Houston, TX
National Provider Identifier
1316615602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109780
- Practice address
- 12100 Misty Valley Dr
Houston, TX 77066-2436 - Phone
- (713) 444-1267
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109780 | TX | Primary |
Addresses
Primary practice location
12100 Misty Valley Dr
Houston, TX 77066-2436
Mailing address
5206 Marble Gate LN
Houston, TX 77069-1920
Phone (713) 444-1267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109780 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1316615602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5206 MARBLE GATE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770691920",
"telephone_number": "713-444-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 MISTY VALLEY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770662436",
"telephone_number": "713-444-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "KIMBRA",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.