Kylie Lewis

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

122723 Issued in TX

Practice address

4010 Sandy Brook Dr Ste 201
Round Rock, TX 78665-1518

Phone

(512) 388-8904

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Mighty Kids Therapy

  • Clinic/Center
  • Round Rock, TX
  • NPI 1548683592
  NPD (past)

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1467190306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 NORESTON ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662188632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651518",
            "telephone_number": "512-388-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Leigh Lewallen, LPC, LSOTP
• Fredrick Robert Lewcock, D.D.S.
• Lambra Lewellen, LCSW
• Christopher A Lewis, MD
• James Lewis
• Lauren Meredith Lewis, LPC
• Melissa Lewis, PA
• Rachel Lewis
• Rodney Duane Lewis, MD
• Shanada Lewis, CPE, DOULA, CHP

• Occupational Therapist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Occupational Therapist in Texas

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