Individual provider Active NPI

Kyle Alexander Oatis, OT

  • Occupational Therapist
  • Dallas, TX
National Provider Identifier
1609353085
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
125410 Issued in TX
Practice address
1201 Elm St Ste 121
Dallas, TX 75270-2014
Phone
(469) 620-5070
NPI assigned
Jul 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT007165 GA
Occupational Therapist 225X00000X 125410 TX Primary

Addresses

Primary practice location

1201 Elm St Ste 121
Dallas, TX 75270-2014

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Other practice location 1

620 Cherokee St NE Ste 275
Marietta, GA 30060-7202
Phone (770) 475-7272

Other practice location 2

705 Town Blvd NE Ste S550
Brookhaven, GA 30319-7216
Phone (404) 869-1912

Other practice location 3

5871 Glenridge Dr Ste 115
Sandy Springs, GA 30328-5304
Phone (770) 475-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181109001496 GA Practitioner - Occupational Therapist in Private Practice 7911251913 Reassigns benefits to 4 organizations
I20250305003491 TX Practitioner - Occupational Therapist in Private Practice 7911251913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1201 Elm St
Suite 121
Dallas, TX 75270-2014
Phone (469) 620-5070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Occupational Therapist CurrentSince Feb 25, 2025 Accepting new patients
N Motion Hand & Physical Therapy, LLC Occupational Therapist CurrentSince Mar 1, 2020 Accepting new patients
Athletico LTD Occupational Therapist CurrentSince Feb 25, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Sep 27, 2018 Accepting new patients
Athletico LTD Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Sep 27, 2018 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3155 North Point Pkwy
Ste D100
Alpharetta, GA 30005
Phone (770) 475-7272

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

705 Town Blvd NE
Ste S550
Brookhaven, GA 30319
Phone (404) 869-1912

1603 Highway 20 NE
Ste 201
Conyers, GA 30012
Phone (770) 929-8411

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

620 Cherokee St NE
Ste 275
Marietta, GA 30060
Phone (678) 653-9217

5871 Glenridge Dr
Ste 115
Sandy Springs, GA 30328
Phone (404) 480-4486

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995

1201 Elm St
Ste 121
Dallas, TX 75270
Phone (469) 620-5070

125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318

Organizations & group practices 10

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1609353085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ELM ST STE 121",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752702014",
            "telephone_number": "469-620-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Cherokee St NE Ste 275",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300607202",
            "country_code": "US",
            "telephone_number": "770-475-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Town Blvd NE Ste S550",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303197216",
            "country_code": "US",
            "telephone_number": "404-869-1912",
            "fax_number": "404-869-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5871 Glenridge Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303285304",
            "country_code": "US",
            "telephone_number": "770-475-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OATIS",
        "first_name": "KYLE",
        "middle_name": "ALEXANDER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007165",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "125410",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 3, 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.