Kalli Nicole Kallies, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

417371 Issued in TX

Practice address

704 Longmire Rd Ste 101
Conroe, TX 77304-1850

Phone

(713) 494-5407

NPI assigned

Jun 2, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1659939908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16418 RUDDER DR",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775324925",
            "telephone_number": "713-494-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LONGMIRE RD STE 101",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041850",
            "telephone_number": "713-494-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIES",
        "first_name": "KALLI",
        "middle_name": "NICOLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-02",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "417371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iman Kadri
• Sarah Mead Kaer
• Mahdi Mannan Kaheri, DO
• Perwaiz Kahn, M.D,
• Mark Kakos, LCDC
• Vasudeva M Kamath, MD
• Anna Y Kamdar, DMD
• Taslima A Karim, PA-C
• Sneha Karthikeyan
• Vishal Karthikeyan

• Pediatric Occupational Therapist in Conroe, TX
• Providers in Conroe, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; 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.