Individual provider Active NPI

Kimberly Neyers Taylor, O.T.R

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1639293780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1159859 Issued in TX
Practice address
3701 N Lamar Blvd
Suite 301a
Austin, TX 78705-1140
Phone
(512) 302-3922
Fax
(512) 302-3921
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1159859 TX Primary

Addresses

Primary practice location

3701 N Lamar Blvd
Suite 301a
Austin, TX 78705-1140

Mailing address

3701 N Lamar Blvd
Suite 301a
Austin, TX 78705-1140
Phone (512) 302-3922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000472 TX Practitioner - Occupational Therapist in Private Practice 9234115163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1159859TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapies of Texas, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients

Locations

1521 E Business 190
Copperas Cove, TX 76522
Phone (512) 256-7627

Organizations & group practices 3

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639293780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 N LAMAR BLVD",
            "address_2": "SUITE 301A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051140",
            "telephone_number": "512-302-3922",
            "fax_number": "512-302-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 N LAMAR BLVD",
            "address_2": "SUITE 301A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051140",
            "telephone_number": "512-302-3922",
            "fax_number": "512-302-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBERLY",
        "middle_name": "NEYERS",
        "name_prefix": "Mrs.",
        "credential": "O.T.R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "1159859",
            "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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.