Individual provider Active NPI

Kris L Foley, OTR/L

  • Specialist
  • Dallas, TX
National Provider Identifier
1477785574
Registry record updated Aug 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
105676 Issued in TX
Practice address
9441 LBJ Fwy Ste 101
Dallas, TX 75243-4566
Phone
(214) 575-9820
NPI assigned
Aug 23, 2009
Last updated
Aug 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 105676 TX Primary

Addresses

Primary practice location

9441 LBJ Fwy Ste 101
Dallas, TX 75243-4566

Mailing address

4828 Graham CT
The Colony, TX 75056-1124
Phone (972) 768-8175

Other identifiers 1

IdentifierTypeStateIssuer
105676OtherTXSTATE LICENSING BOARD - TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515003572 TX Practitioner - Occupational Therapist in Private Practice 5092156414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

600 W Arapaho Rd
Richardson, TX 75080-4423
Phone (469) 712-8148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC CurrentSince Apr 9, 2024 Accepting new patients
Aegis Group Practice LLC CurrentSince Apr 9, 2024 Accepting new patients
Aegis Group Practice LLC Current Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181

Organizations & group practices 3

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": "1250985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250985600000",
    "number": "1477785574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 GRAHAM CT",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750561124",
            "telephone_number": "972-768-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434566",
            "telephone_number": "214-575-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "KRIS",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-23",
        "last_updated": "2009-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "105676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD - TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "105676",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2009; 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.