Dragonfly Kids Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

DRAGONFLY KIDS THERAPY

Practice address

24123 Boerne Stage Rd Ste 210
San Antonio, TX 78255-9406

Phone

(830) 203-0904

Fax

(830) 272-5807

NPI assigned

Jul 2, 2025

Organization subpart

No

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

Authorized official

Name

Avery De la Pena, OTRNPI 1083133813

Title

Occupational Therapist

Phone

(830) 203-0904

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Avery Kristie De la Pena, MSOT, OTR

  • Pediatric Occupational Therapist
  • Boerne, TX
  • NPI 1083133813

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1790674646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 BOERNE STAGE RD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559406",
            "telephone_number": "830-203-0904",
            "fax_number": "830-272-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 BOERNE STAGE RD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559406",
            "telephone_number": "830-203-0904",
            "fax_number": "830-272-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "DE LA PENA",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "830-203-0904",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Draaisma, IOM
• Amber Marie Drabek, PT
• Hilda T. Draeger, M.D.
• Monica Joy Draeger, LPC ASSOCIATE
• Heather Dragland
• Haley N Dragoo-Kraskovic, FNP-C
• Edita Dragusin, PT
• Lee Erin Drahl, SLPA
• Drake Eye Care, Professional Association
• Amy D Drake, LCSW

• Pediatric Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.