Active NPI
Kristine S McBride, OTR
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1730495151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110758
- Practice address
- 9441 LBJ Fwy Ste 101
Dallas, TX 75243-4566 - Phone
- (214) 575-9820
- NPI assigned
- Aug 23, 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 | 110758 | TX | Primary |
Addresses
Primary practice location
9441 LBJ Fwy Ste 101
Dallas, TX 75243-4566
Mailing address
1322 Northpark Dr
Richardson, TX 75081-5936
Phone (214) 418-6757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110758 | Other | TX | EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUTIPATIONAL THERAPY EXAMINERS |
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 |
|---|---|---|---|
| 110758 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1730495151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 NORTHPARK DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815936",
"telephone_number": "214-418-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9441 LBJ FWY STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752434566",
"telephone_number": "214-575-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "KRISTINE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUTIPATIONAL THERAPY EXAMINERS",
"identifier": "110758",
"state": "TX"
}
],
"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 Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.