Kaitlyn McKinley Holley, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

123503 Issued in TX

Practice address

816 Keller Pkwy Ste B302
Keller, TX 76248-2479

Phone

(817) 562-8731

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Missing Peace Autism Therapy Center, LLC

  • Behavior Analyst
  • Keller, TX
  • NPI 1023412178
  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1942995485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRANGE HALL DR APT 5301",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760392265",
            "telephone_number": "970-481-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 KELLER PKWY STE B302",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482479",
            "telephone_number": "817-562-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "KAITLYN",
        "middle_name": "MCKINLEY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Arlene Hofmann, RPH
• James Hoke, RBT
• Gina Rene Holbrook, CST/CSFA
• Lauren Margaux Holland, LPC-A
• Shelby Renee Holland, PA-C
• Kimberely Holloway, DPT
• Elizabeth Holman
• Jerry Holubec, D.O.
• Hope and Growth Center PLLC
• Hope Family Healthcare LLC

• All providers in Keller, TX
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.