Organization Active NPI

Kathleen D. Shaffer LLC

  • Pediatric Occupational Therapist
  • Pflugerville, TX
National Provider Identifier
1730368028
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
KATHLEEN D. SHAFFER LLC
Practice address
2415 W Pecan St Ste 100
Pflugerville, TX 78660-3670
Phone
(512) 251-3230
Fax
(512) 251-8760
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Mrs. Kathleen Duke Shaffer, OTR/LNPI 1477501377
Title
Owner/Director
Phone
(512) 251-3230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

2415 W Pecan St Ste 100
Pflugerville, TX 78660-3670

Mailing address

2415 W Pecan St Ste 100
Pflugerville, TX 78660-3670
Phone (512) 251-3230

Other names 1

  • OT Connection Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kathleen D Shaffer LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1730368028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 W PECAN ST STE 100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603670",
            "telephone_number": "512-251-3230",
            "fax_number": "512-251-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W PECAN ST STE 100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603670",
            "telephone_number": "512-251-3230",
            "fax_number": "512-251-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN D. SHAFFER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "DUKE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "512-251-3230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OT Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.