Active NPI
Agueda Kroll
- Pediatric Occupational Therapist
- Cedar Park, TX
National Provider Identifier
1992685754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 218002
- Practice address
- 200 Buttercup Creek Blvd
Cedar Park, TX 78613-3708 - Phone
- (512) 827-3670
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 218002 | TX | Primary |
Addresses
Primary practice location
200 Buttercup Creek Blvd
Cedar Park, TX 78613-3708
Mailing address
21802 Surrey LN
Lago Vista, TX 78645-4332
Phone (512) 961-2343
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 |
|---|---|---|---|
| 218002 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1992685754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21802 SURREY LN",
"city": "LAGO VISTA",
"state": "TX",
"postal_code": "786454332",
"telephone_number": "512-961-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUTTERCUP CREEK BLVD",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133708",
"telephone_number": "512-827-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROLL",
"first_name": "AGUEDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "218002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, 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.