Individual provider Active NPI

Jill Kirkpatrick, OTR

  • Occupational Therapist
  • Lindale, TX
National Provider Identifier
1972562932
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101977 Issued in TX
Practice address
2808 S Main St Ste C
Lindale, TX 75771-7854
Phone
(903) 780-6596
Fax
(903) 881-6010
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 101977 TX Primary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 101977 TX

Addresses

Primary practice location

2808 S Main St Ste C
Lindale, TX 75771-7854

Mailing address

PO Box 2350
Lindale, TX 75771-2350
Phone (903) 780-6596

Other identifiers 1

IdentifierTypeStateIssuer
089220001MedicaidTX

Other names 1

  • Rhonda Jill Kirkpatrick Other name

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
101977TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K Kids Therapy Occupational Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

2808 S Main St
Ste A
Lindale, TX 75771
Phone (903) 780-6596

2808 S Main St
Ste C
Lindale, TX 75771
Phone (903) 780-3505

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1972562932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2350",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757712350",
            "telephone_number": "903-780-6596",
            "fax_number": "844-832-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S MAIN ST STE C",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717854",
            "telephone_number": "903-780-6596",
            "fax_number": "903-881-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "JILL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "101977",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "101977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089220001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "KIRKPATRICK",
            "middle_name": "JILL",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.