Individual provider Active NPI

Kristin L Booher, OT

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1770633448
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110630 Issued in TX
Practice address
12727 Kimberley LN Ste 104
Houston, TX 77024-4060
Phone
(713) 365-9338
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 110630 TX Primary

Addresses

Primary practice location

12727 Kimberley LN Ste 104
Houston, TX 77024-4060

Mailing address

12727 Kimberley LN Ste 104
Houston, TX 77024-4060
Phone (713) 365-9338

Other names 1

  • Kristin Harder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226002067 TX Practitioner - Occupational Therapist in Private Practice 6901145515 Reassigns benefits to 1 organization

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
Star Therapy Centers Limited PartnershipGroup PAC ID 3779493630, 17 clinicians

Practice addresses (Care Compare)

11242 FM 1960 Rd W
Suite 104
Houston, TX 77065-3630
Phone (281) 469-8163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Therapy Centers Limited Partnership Current Accepting new patients
Action Therapy Centers Limited Past Accepting new patients
Action Therapy Centers Limited Past Accepting new patients

Locations

4009 Bellaire Blvd
Ste M
Houston, TX 77025
Phone (713) 839-7800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1770633448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244060",
            "telephone_number": "713-365-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244060",
            "telephone_number": "713-365-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "HARDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 27, 2018; 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.

Verify at the official NPI Registry.