Individual provider Active NPI

Kendra Brett Loftice Roberts, OTR, CSRS, CBIS

  • Pediatric Occupational Therapist
  • Howe, TX
National Provider Identifier
1861021701
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
303 Walnut St
Howe, TX 75459-4538
Phone
(903) 744-4421
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 117134 TX
Neurorehabilitation Occupational Therapist 225XN1300X 117134 TX
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

303 Walnut St
Howe, TX 75459-4538

Mailing address

2630 County Road 1300
Ravenna, TX 75476-7003
Phone (214) 789-5703

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
117134TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzone Therapy, PLLC Dba Kidsquest Therapy Occupational Therapist CurrentSince Oct 10, 2021 Accepting new patients
Pate Rehabilitation Endeavors, LLC PastSince Apr 1, 2020 Accepting new patients
Kidzone Therapy PLLC PastSince Oct 10, 2021 Accepting new patients

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1861021701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 COUNTY ROAD 1300",
            "city": "RAVENNA",
            "state": "TX",
            "postal_code": "754767003",
            "telephone_number": "214-789-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WALNUT ST",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754594538",
            "telephone_number": "903-744-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTICE ROBERTS",
        "first_name": "KENDRA",
        "middle_name": "BRETT",
        "credential": "OTR, CSRS, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117134",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "TX",
            "license": "117134",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.