Active NPI
Kimberly Rodriguez, OTD
- Occupational Therapist
- Austin, TX
National Provider Identifier
1609430594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 126726
- Practice address
- 608 Radam LN
Austin, TX 78745-1172 - Phone
- (512) 788-9688
- Fax
- (512) 443-5055
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 126726 | TX | Primary |
Addresses
Primary practice location
608 Radam LN
Austin, TX 78745-1172
Mailing address
8701 N Mopac Expy Ste 105
Austin, TX 78759-8364
Phone (512) 687-1970
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 |
|---|---|---|---|
| 215633 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1609430594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 N MOPAC EXPY STE 105",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598364",
"telephone_number": "512-687-1970",
"fax_number": "512-407-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 RADAM LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451172",
"telephone_number": "512-788-9688",
"fax_number": "512-443-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KIMBERLY",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "126726",
"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 Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.