Individual provider Active NPI

Kristina Magaha, OT

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1992069439
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
112386 Issued in TX
Practice address
5555 N Lamar Blvd Ste L103
Austin, TX 78751-1066
Phone
(512) 200-2332
Fax
(512) 852-4557
NPI assigned
Jun 29, 2012
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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 112386 TX Primary

Addresses

Primary practice location

5555 N Lamar Blvd Ste L103
Austin, TX 78751-1066

Mailing address

15043 Savannah Heights Dr
Austin, TX 78717-4632
Phone (512) 310-8681

Other identifiers 1

IdentifierTypeStateIssuer
112386OtherTXOT LICENSE

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1992069439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15043 SAVANNAH HEIGHTS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174632",
            "telephone_number": "512-310-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD STE L103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511066",
            "telephone_number": "512-200-2332",
            "fax_number": "512-852-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAHA",
        "first_name": "KRISTINA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "112386",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.