Katelyn Nicole Threadgill, OTR, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

125600 Issued in TX

Practice address

1431 Greenway Dr Ste 500
Irving, TX 75038-2444

Phone

(877) 688-2520

NPI assigned

Jul 11, 2025

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

Other names 1

• Katelyn Nicole Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Green Apple LLC

  • Home Health Agency
  • Irving, TX
  • NPI 1306170576
  NPD

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1609767367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GROVE BLVD UNIT 3220",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751650150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 GREENWAY DR STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382444",
            "telephone_number": "877-688-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12801 N Central Expy Ste 1150",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431779",
            "country_code": "US",
            "telephone_number": "972-702-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THREADGILL",
        "first_name": "KATELYN",
        "middle_name": "NICOLE",
        "credential": "OTR, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "125600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "CAMPBELL",
            "middle_name": "NICOLE",
            "credential": "OTR, OTD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; 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.