Individual provider Active NPI

Kellie Lorraine Beall, OT

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1467910919
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
119807 Issued in TX
Practice address
1825 Fortview Rd Ste 103
Austin, TX 78704-7654
Phone
(512) 444-4263
Fax
(512) 444-4262
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 119807 TX Primary

Addresses

Primary practice location

1825 Fortview Rd Ste 103
Austin, TX 78704-7654

Mailing address

PO Box 226656
Dallas, TX 75222-6656
Phone (214) 943-9431

Other practice location 1

214 W Colorado Blvd
Dallas, TX 75208-2326
Phone (214) 943-9431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190415001493 TX Practitioner - Occupational Therapist in Private Practice 7719228089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1825 Fortview Rd
Suite 103
Austin, TX 78704-7654
Phone (512) 444-4263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119807TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hand Clinic of Austin, P.C. Occupational Therapist CurrentSince May 1, 2025 Accepting new patients
The Hand Clinic of Austin, P.C. CurrentSince May 1, 2025 Accepting new patients

Locations

1825 Fortview Rd
Ste 103
Austin, TX 78704
Phone (512) 444-4263

1825 Fortview Rd
Austin, TX 78704
Phone (512) 444-4263

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1467910919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226656",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752226656",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047654",
            "telephone_number": "512-444-4263",
            "fax_number": "512-444-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 W Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082326",
            "country_code": "US",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEALL",
        "first_name": "KELLIE",
        "middle_name": "LORRAINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119807",
            "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 May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.