Active NPI
McKenzie Coomer, OTR/L, OTD
- Pediatric Occupational Therapist
- Dallas, TX
National Provider Identifier
1679254296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 123797
- Practice address
- 4201 Spring Valley Rd Ste 600
Dallas, TX 75244-1209 - Phone
- (866) 919-3240
- NPI assigned
- Jul 27, 2023
- Last updated
- Feb 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 123797 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 123797 | TX | Primary |
Addresses
Primary practice location
4201 Spring Valley Rd Ste 600
Dallas, TX 75244-1209
Mailing address
4201 Spring Valley Rd Ste 600
Dallas, TX 75244-1209
Other practice location 1
3310 S Broadway Ave Ste 100I
Tyler, TX 75701-7818
Phone (903) 780-3505
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bo Keeling, PLLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1679254296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 SPRING VALLEY RD STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752441209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SPRING VALLEY RD STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752441209",
"telephone_number": "866-919-3240"
}
],
"practiceLocations": [
{
"address_1": "3310 S Broadway Ave Ste 100I",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757017818",
"country_code": "US",
"telephone_number": "903-780-3505",
"fax_number": "877-798-4959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOMER",
"first_name": "MCKENZIE",
"credential": "OTR/L, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "123797",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "123797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.