Individual provider Active NPI

Kailash Chandra Sahoo, OT

  • Occupational Therapist
  • Allen, TX
National Provider Identifier
1346499092
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107760 Issued in TX
Practice address
1904 Natchez Trce
Allen, TX 75013-4874
Phone
(580) 916-2377
Fax
(580) 916-2377
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 107760 TX Primary
Occupational Therapist 225X00000X 779 OK

Addresses

Primary practice location

1904 Natchez Trce
Allen, TX 75013-4874

Mailing address

1904 Natchez Trace
Allen, TX 75013
Phone (580) 916-2377

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

LicenseStateTypeSpecialty
779OKMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1346499092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 NATCHEZ TRACE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "580-916-2377",
            "fax_number": "580-916-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 NATCHEZ TRCE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134874",
            "telephone_number": "580-916-2377",
            "fax_number": "580-916-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHOO",
        "first_name": "KAILASH",
        "middle_name": "CHANDRA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "107760",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.