Individual provider Active NPI

Callah Kimble, OTR

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1427409838
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117683 Issued in TX
Practice address
9433 Bee Cave Rd
BLDG 3, Ste 101
Austin, TX 78733-6135
Phone
(512) 306-8007
Fax
(512) 672-6178
NPI assigned
Jun 27, 2016
Last updated
Jun 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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 117683 TX Primary

Addresses

Primary practice location

9433 Bee Cave Rd
BLDG 3, Ste 101
Austin, TX 78733-6135

Mailing address

9433 Bee Cave Rd
BLDG 3, Ste 101
Austin, TX 78733-6135
Phone (512) 306-8007

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
117683TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1427409838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 BEE CAVE RD",
            "address_2": "BLDG 3, STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787336135",
            "telephone_number": "512-306-8007",
            "fax_number": "512-672-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BEE CAVE RD",
            "address_2": "BLDG 3, STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787336135",
            "telephone_number": "512-306-8007",
            "fax_number": "512-672-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "CALLAH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.