MEDICARE: MS. KARYN KAPLAN COLLINS OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XN1300X	Neurorehabilitation Occupational Therapist	103088	TX
2	225XP0200X	Pediatric Occupational Therapist	103088	TX
3	225X00000X	Occupational Therapist	103088	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8T6658	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1184726200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARYN KAPLAN COLLINS OTR

Provider Business Mailing Address
First Line	:	10330 WINDBURN TRL
Second Line	:
City	:	CONVERSE
State	:	TX
Zip	:	78109-1706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	962 CORONADO BLVD
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78148-3228
Country	:	US
Telephone Number	:	210-490-3900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	03/27/2024

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