Individual provider Active NPI

Kara Michael, OTR

  • Occupational Therapist
  • Beaumont, TX
National Provider Identifier
1619494069
Registry record updated Aug 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
115877 Issued in TX
Practice address
6895 Glen Willow Dr
Beaumont, TX 77706-4110
Phone
(409) 363-0653
Fax
(409) 363-0653
NPI assigned
Aug 26, 2017
Last updated
Aug 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 115877 TX Primary
Pediatric Occupational Therapist 225XP0200X
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X

Addresses

Primary practice location

6895 Glen Willow Dr
Beaumont, TX 77706-4110

Mailing address

6895 Glen Willow Dr
Beaumont, TX 77706-4110
Phone (409) 363-0653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204004515 TX Practitioner - Occupational Therapist in Private Practice 7517446008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

269 County Rd
Suite 4185
Orange, TX 77632

269 County Rd
Suite 4185
Orange, TX 77632-8620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115877TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Therapy Set, LLC Occupational Therapist CurrentSince Jan 1, 2026 Accepting new patients
Southeast Texas Pediatric Therapy, PLLC Occupational Therapist CurrentSince Jan 1, 2026 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503705600000",
    "number": "1619494069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 GLEN WILLOW DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064110",
            "telephone_number": "409-363-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6895 GLEN WILLOW DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064110",
            "telephone_number": "409-363-0653",
            "fax_number": "409-363-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "KARA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-26",
        "last_updated": "2017-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115877",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2017; 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.