Individual provider Active NPI

Kyle Bateman, OTR/L

  • Occupational Therapist
  • Webster, TX
National Provider Identifier
1417457490
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18-1020 Issued in NV
Practice address
617 Cole St
Webster, TX 77598-4903
Phone
(281) 824-1000
NPI assigned
Feb 16, 2018
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 18-1020 NV
Occupational Therapist 225X00000X 18-1020 NV Primary

Addresses

Primary practice location

617 Cole St
Webster, TX 77598-4903

Mailing address

2075 S Sir Monte Dr Apt 36
St George, UT 84770-8816

Other practice location 1

2012 S Jones Blvd
Las Vegas, NV 89146-3151
Phone (702) 360-1137

Other practice location 2

199 Blossom St Ste B
Webster, TX 77598-4415
Phone (281) 824-1000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18-1020NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Allergy and Pediatric Associates, PLLC CurrentSince Oct 23, 2022 Accepting new patients

Locations

617 Cole St
Webster, TX 77598
Phone (281) 338-6509

Organizations & group practices 1

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1417457490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 S SIR MONTE DR APT 36",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847708816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 COLE ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984903",
            "telephone_number": "281-824-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463151",
            "country_code": "US",
            "telephone_number": "702-360-1137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 Blossom St Ste B",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984415",
            "country_code": "US",
            "telephone_number": "281-824-1000",
            "fax_number": "281-562-7840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "KYLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "18-1020",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "18-1020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.