Mia J Kemp, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105633 Issued in TX

Practice address

3410 Magnolia St
Texarkana, TX 75503-3729

Phone

(903) 792-3003

Fax

(903) 792-3003

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapy Options of Texarkana, Inc

  • Physical Therapist
  • Texarkana, TX
  • NPI 1467893909

  Occupational Therapist

  NPD (past)
• Therapy Options of Texarkana, Inc.

  • Occupational Therapist
  • Texarkana, TX
  • NPI 1528003969
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1336177658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 MAGNOLIA ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033729",
            "telephone_number": "903-792-3003",
            "fax_number": "903-792-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 MAGNOLIA ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033729",
            "telephone_number": "903-792-3003",
            "fax_number": "903-792-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "MIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179227701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8T6082",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erma Kelley, APRN
• Jessica Nicole Kelley, MS
• Shirley Kelley
• Jacob Kelton
• Lavonda D Kemp, COTA
• Spencer Allen Kemp, D.D.S.
• Amy A Kennemore, RN, APN-BC
• Lisa Kenney-Oleson
• Klark Randall Kent, PA-C
• Jennifer Kern, MS, LPC

• Occupational Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.