Katelyn Carroll, OTR, BCP

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

124311 Issued in TX

Practice address

359 Lake Park Rd Ste 111
Lewisville, TX 75057-2327

Phone

(817) 233-8275

Fax

(817) 423-7359

NPI assigned

Dec 9, 2024

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

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1538975016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 LAKE PARK RD STE 111",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750572327",
            "telephone_number": "817-233-8275",
            "fax_number": "817-423-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 LAKE PARK RD STE 111",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750572327",
            "telephone_number": "817-233-8275",
            "fax_number": "817-423-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KATELYN",
        "credential": "OTR, BCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "124311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Michael Carl, DMD
• Ashleigh Carlton, PT, DPT
• Billy Carmack, D.C.
• Carolyn B Lyde MD PA
• Brandi Carpenter, LVN
• Rebecca Rose Carroll, DPT
• Allyson Carson, LPC
• Renee Carter
• Steven B Casper, MS
• Cassia Home Health, LLC

• Pediatric Occupational Therapist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.