Active NPI
Kendra Worley, OTR
- Pediatric Occupational Therapist
- Dallas, TX
National Provider Identifier
1710156252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 110453
- Practice address
- 4350 Sigma Rd
Suite 100
Dallas, TX 75244-4421 - Phone
- (972) 991-6777
- Fax
- (972) 991-6361
- NPI assigned
- Feb 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 110453 | TX | Primary |
Addresses
Primary practice location
4350 Sigma Rd
Suite 100
Dallas, TX 75244-4421
Mailing address
1540 Ranchview LN
Carrollton, TX 75007-2900
Phone (214) 995-1728
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110453 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Launchability | 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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Dallas, TX
- NPI 1124449913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1710156252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 RANCHVIEW LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072900",
"telephone_number": "214-995-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 SIGMA RD",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444421",
"telephone_number": "972-991-6777",
"fax_number": "972-991-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "KENDRA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "110453",
"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 Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.