Active NPI
Kipp Aaron Clayton, O.T.-R.
- Occupational Therapist
- Castroville, TX
National Provider Identifier
1568520641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109851
- Practice address
- 209 US Highway 90 W
Ste. 2
Castroville, TX 78009-4540 - Phone
- (830) 931-2211
- Fax
- (830) 538-3778
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109851 | TX | Primary |
Addresses
Primary practice location
209 US Highway 90 W
Ste. 2
Castroville, TX 78009-4540
Mailing address
209 US Highway 90 West
Suite 2
Castroville, TX 78009-4555
Phone (830) 931-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89688T | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109851 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MV Spine and Joint, P.a. | Past | Accepting new patients | |
| Medina Valley Spine and Joint, LLC | Occupational Therapist | Past | Accepting new patients |
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.
-
- Chiropractor
- Castroville, TX
- NPI 1023282811
Occupational Therapist
-
- Chiropractor
- Castroville, TX
- NPI 1366614653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1568520641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 US HIGHWAY 90 WEST",
"address_2": "SUITE 2",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780094555",
"telephone_number": "830-931-2211",
"fax_number": "830-538-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 US HIGHWAY 90 W",
"address_2": "STE. 2",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780094540",
"telephone_number": "830-931-2211",
"fax_number": "830-538-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "KIPP",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "O.T.-R.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89688T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castroville, TX
- Castroville Dental PLLC
- Castroville Family Dentistry, PLLC
- Castroville Physical Therapy and Sports Medicine Rehabilitation
- Stephanie Kaye Chambers, LPC ASSOCIATE
- Christian Biblical Counseling Center
- Rodrigo Crespo
- Cindy Marie Crews, D.D.S.
- Frank Raymond Danna II, DDS
- Orlanda De Los Santos
- Sarinda Diaz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.