Individual provider Active NPI

Kristine Damrill, OT/L, CLT

  • Occupational Therapist
  • Waxahachie, TX
National Provider Identifier
1780311704
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122699 Issued in TX
Practice address
Professional Plaza 1
2460 North I-35 E., Suite 260
Waxahachie, TX 75165
Phone
(972) 938-3311
Fax
(972) 935-0128
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 122699 TX Primary

Addresses

Primary practice location

Professional Plaza 1
2460 North I-35 E., Suite 260
Waxahachie, TX 75165

Mailing address

2050 Conquest Blvd Apt 11102
Waxahachie, TX 75167-4875
Phone (405) 615-7192

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

LicenseStateTypeSpecialty
122699TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bir JV LLP PastSince Aug 7, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1780311704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CONQUEST BLVD APT 11102",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751674875",
            "telephone_number": "405-615-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROFESSIONAL PLAZA 1",
            "address_2": "2460 NORTH I-35 E., SUITE 260",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-938-3311",
            "fax_number": "972-935-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMRILL",
        "first_name": "KRISTINE",
        "credential": "OT/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.