Individual provider Active NPI

Kristina Elizabeth Huscroft, OTR

  • Pediatric Occupational Therapist
  • Dallas, TX
National Provider Identifier
1336773035
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
120703 Issued in TX
Practice address
13720 Midway Rd Ste 107
Dallas, TX 75244-4313
Phone
(214) 646-1449
NPI assigned
Mar 3, 2020
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 120703 TX Primary

Addresses

Primary practice location

13720 Midway Rd Ste 107
Dallas, TX 75244-4313

Mailing address

18012 Windflower Way
Dallas, TX 75252-5232
Phone (469) 394-5207

Other identifiers 1

IdentifierTypeStateIssuer
120703OtherTXSTATE LISCENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000021 MN Practitioner - Occupational Therapist in Private Practice 0840709317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120703TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Achievement Center Inc. Single Specialty CurrentSince May 27, 2025 Accepting new patients
Dallas Occupational Therapy Services for Kids, PLLC Pediatrics PastSince Jul 7, 2024 Accepting new patients
Kidz Therapy Zone LLC Single Specialty PastSince Mar 1, 2020 Accepting new patients
Kidz Therapy Zone PastSince Mar 1, 2020 Accepting new patients

Locations

2101 Wooddale Dr
Ste A
Woodbury, MN 55125
Phone (651) 738-9888

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1336773035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18012 WINDFLOWER WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525232",
            "telephone_number": "469-394-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 MIDWAY RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444313",
            "telephone_number": "214-646-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSCROFT",
        "first_name": "KRISTINA",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "120703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "120703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.