Active NPI
Kendra Brett Loftice Roberts, OTR, CSRS, CBIS
- Pediatric Occupational Therapist
- Howe, TX
National Provider Identifier
1861021701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 117134 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidzone Therapy, PLLC Dba Kidsquest Therapy | Occupational Therapist | Current | Accepting new patients |
| Pate Rehabilitation Endeavors, LLC | Past | Accepting new patients | |
| Kidzone Therapy PLLC | Past | 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.
-
- Rehabilitation Clinic/Center
- Howe, TX
- NPI 1730757469
Occupational Therapist
-
- Occupational Therapy Assistant
- Howe, TX
- NPI 1790237758
-
- Rehabilitation Clinic/Center
- Irving, TX
- NPI 1083738892
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.