Katherine Ann Boston, OTR/L
Individual provider Active NPI Occupational Therapist · Las Vegas, NV
NPI 1013493378 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1013493378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-2316 (NV)
- Practice address
- 4980 W Sahara Ave Ste 260
Las Vegas, NV 89146-3435 - Phone
- (702) 820-5070
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthoalaska LLC
Practice addresses (Care Compare)
13015 Old Glenn Hwy
Suite 100
Eagle River, AK 99577-7572
Phone (907) 562-2277
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- Quality
- 52.97
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 73.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180822001051 | AK | Practitioner - Occupational Therapist in Private Practice | 6709135833 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135672 | AK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Surgicenter, LLC | Current |
Accepting new patients | |
| Orthoalaska, LLC | Occupational Therapist | Current | Accepting new patients |
| Orthoalaska LLC | Past |
Accepting new patients |
Locations
3890 University Lake Dr
Ste 110
Anchorage, AK 99508
Phone (907) 249-5542
2250 E 42nd Ave
#200
Anchorage, AK 99508
Phone (907) 569-3668
3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238
13015 Old Glenn Hwy
Ste 100
Eagle River, AK 99577
3125 E Meridian Park Loop
Ste 300
Wasilla, AK 99654
Phone (907) 357-2267
Interoperability endpoints
- katherine.boston.p1@direct.opaak.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 135672 | AK | |
| Occupational Therapist | 225X00000X | OT-2316 | NV | Yes |
Addresses
Primary practice location
4980 W Sahara Ave Ste 260
Las Vegas, NV 89146-3435
Mailing address
4980 W Sahara Ave Ste 260
Las Vegas, NV 89146-3435
Phone (702) 820-5070
Other practice location 1
3801 Lake Otis Pkwy
Anchorage, AK 99508
Phone (907) 562-2277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1685621 | Medicaid | AK |
Other names
- Katherine Ann Wondra
Other providers in Las Vegas, NV
- Kim Bostic
- Marcus Eric Bostic
- Elijah Q Boston
- Jocqulyn Boston
- Joycelyn Boston
- Shaunte Boston
- Jaymi Christine Boswell
- Jennifer Boswell
- Bosworth Nutrition Concepts
- Jackie Bosworth
All providers in Las Vegas, NV · Occupational Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.