Kylee Brooke Stegall, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

119867 Issued in TX

Practice address

1628 19TH St
Lubbock, TX 79401-4832

Phone

(806) 219-0500

Fax

(806) 766-1286

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kylee Brooke Smith Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lubbock Independent School District

  • Developmental Disabilities Clinic/Center
  • Lubbock, TX
  • NPI 1669543401
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1457810582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014832",
            "telephone_number": "806-219-0500",
            "fax_number": "806-766-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014832",
            "telephone_number": "806-219-0500",
            "fax_number": "806-766-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGALL",
        "first_name": "KYLEE",
        "middle_name": "BROOKE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lubbock",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1628 19th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794014832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KYLEE",
            "last_name": "SMITH",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Denise Steadman, ATC, LAT, PT
• Brian Steele
• Cody Michael Steele
• Sterling Steelman, RBT
• Matthew Steffensen, DO
• Alicia Steiger, LMSW
• Taylor Katelyn Steinle, COTA
• Katarzyna Maria Stelmach, PHARM.D.
• Amanda Alaine Stephens
• Angela D. Stephens, P.A.

• Occupational Therapist in Lubbock, TX
• Providers in Lubbock, 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 18, 2019; 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.