Individual provider Active NPI

Katie L Strawbridge

  • Occupational Therapist
  • Wentzville, MO
National Provider Identifier
1023330701
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2009026808 Issued in MO
Practice address
332 Stable LN
Wentzville, MO 63385-5447
Phone
(636) 332-4940
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 2009026808 MO Primary

Addresses

Primary practice location

332 Stable LN
Wentzville, MO 63385-5447

Mailing address

3065 Country Knoll Dr
Saint Charles, MO 63303-6368

Other names 1

  • Katie L Ketchel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621003441 MO Practitioner - Occupational Therapist in Private Practice 4981147642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009026808MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Advantage Solutions, PLLC CurrentSince Jun 5, 2024 Accepting new patients
Therapeutic Horsemanship Occupational Therapist Past Accepting new patients

Locations

8477 S Suncoast Blvd
Homosassa, FL 34446
Phone (800) 381-0822

1105 Village Rd
Neosho, MO 64850
Phone (800) 381-0822

Organizations & group practices 2

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1023330701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 COUNTRY KNOLL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 STABLE LN",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633855447",
            "telephone_number": "636-332-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAWBRIDGE",
        "first_name": "KATIE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009026808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KETCHEL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.