Active NPI
Dalene Marie Killian, OTR
- Occupational Therapist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113864
- Practice address
- 11777 Katy Fwy Ste 260
Houston, TX 77079-1703 - Phone
- (281) 558-5437
- NPI assigned
- May 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 113864 | TX | Primary |
Addresses
Primary practice location
11777 Katy Fwy Ste 260
Houston, TX 77079-1703
Mailing address
3838 N Braeswood Blvd Apt 245
Houston, TX 77025-3018
Phone (713) 202-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Del Webb Blvd
The Hacienda at Georgetown
Georgetown, TX 78633-2488
Phone (737) 284-2807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113864 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1850 E League City Pkwy
League City, TX 77573
Phone (364) 413-6110
265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405
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 and National Provider Directory roles.
-
- Physical Therapist
- Georgetown, TX
- NPI 1952531154
Occupational Therapist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1689992257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 N BRAESWOOD BLVD APT 245",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770253018",
"telephone_number": "713-202-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11777 KATY FWY STE 260",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770791703",
"telephone_number": "281-558-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLIAN",
"first_name": "DALENE",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.