Individual provider Active NPI

Kimberly Grace Novak, OTR

  • Occupational Therapist
  • Saginaw, TX
National Provider Identifier
1871185074
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121564 Issued in TX
Practice address
833 Towne CT
Saginaw, TX 76179-1280
Phone
(214) 302-9725
Fax
(214) 935-2457
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 121564 TX Primary

Addresses

Primary practice location

833 Towne CT
Saginaw, TX 76179-1280

Mailing address

8101 Boat Club Rd Ste 240-319
Fort Worth, TX 76179-3630
Phone (682) 498-3928

Other practice location 1

1140 W Pioneer Pkwy Ste A
Arlington, TX 76013-6383
Phone (469) 587-9397

Other practice location 2

1429 Clear Lake Rd Ste 200
Weatherford, TX 76086-8801
Phone (682) 271-1720

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
121564TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talking Tadpoles, LLC Occupational Therapist CurrentSince Sep 8, 2024 Accepting new patients

Locations

1140 W Pioneer Pkwy
Ste A
Arlington, TX 76013
Phone (469) 587-9397

8101 Boat Club Rd
Ste 240319
Fort Worth, TX 76179
Phone (214) 302-9725

8101 Boat Club Rd
Ste 330
Fort Worth, TX 76179
Phone (682) 498-3927

833 Towne Ct
Saginaw, TX 76179
Phone (214) 302-9725

1429 Clear Lake Rd
Ste 200
Weatherford, TX 76086
Phone (682) 231-1720

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1871185074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BOAT CLUB RD STE 240-319",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793630",
            "telephone_number": "682-498-3928",
            "fax_number": "214-935-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 TOWNE CT",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791280",
            "telephone_number": "214-302-9725",
            "fax_number": "214-935-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 W Pioneer Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760136383",
            "country_code": "US",
            "telephone_number": "469-587-9397",
            "fax_number": "214-935-2457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 Clear Lake Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760868801",
            "country_code": "US",
            "telephone_number": "682-271-1720",
            "fax_number": "214-935-2457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "KIMBERLY",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.