Anna Kunkel, OTR, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121873 Issued in TX

Practice address

555 Ranch Rd. 3237
Wimberley, TX 78676

Phone

(512) 847-5540

NPI assigned

Oct 18, 2012

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1407109135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 RANCH RD. 3237",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "78676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RANCH RD. 3237",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "78676",
            "telephone_number": "512-847-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "ANNA",
        "credential": "OTR, MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210066",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Murray Kast, LPC
• Samantha Marie Kaven, COTA
• Jennifer Kenley, LPC-S, NCC
• Kenneth B. Hudspeth M.D. (Wimberley Medical Clinic)
• Brenda Koser
• Lake Management Group
• Emilee Leal
• Carrie Lee
• Dawn Leisch
• Vanessa Rochelle Lesh, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.