Individual provider Active NPI

Zahira Khimji, OTR/L

  • Occupational Therapist
  • Colleyville, TX
National Provider Identifier
1407504426
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116803 Issued in TX
Practice address
4113 Gateway Dr
Colleyville, TX 76034-5609
Phone
(817) 793-7764
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 116803 TX Primary

Addresses

Primary practice location

4113 Gateway Dr
Colleyville, TX 76034-5609

Mailing address

4800 Bristol Trace CT
Fort Worth, TX 76244-6941
Phone (972) 900-6913

Other identifiers 1

IdentifierTypeStateIssuer
116803OtherTXTBOTE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zahira@childsplaytherapy.net

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
116803TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1407504426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BRISTOL TRACE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446941",
            "telephone_number": "972-900-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 GATEWAY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345609",
            "telephone_number": "817-793-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIMJI",
        "first_name": "ZAHIRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBOTE",
            "identifier": "116803",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zahira@childsplaytherapy.net",
            "affiliation": "N",
            "address_1": "4113 Gateway Dr",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760345609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.