Individual provider Active NPI

Katherine Louise Hotz, OTR

  • Occupational Therapist
  • Beaverton, OR
National Provider Identifier
1073776209
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00006264 Issued in OR
Practice address
1975 NW 167TH PL
Suite 100-23
Beaverton, OR 97006-4908
Phone
(971) 255-3132
Fax
(971) 228-2777
NPI assigned
Jul 8, 2008
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 00006264 OR Primary

Addresses

Primary practice location

1975 NW 167TH PL
Suite 100-23
Beaverton, OR 97006-4908

Mailing address

1975 NW 167TH PL
Suite 100-23
Beaverton, OR 97006-4908
Phone (971) 255-3132

Other identifiers 1

IdentifierTypeStateIssuer
500672140MedicaidOR

Other names 1

  • Kathe Hotz Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140617001601 OR Practitioner - Occupational Therapist in Private Practice 4082838834 Practice locations: Beaverton, OR

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1975 NW 167TH PL
Suite 100 23
Beaverton, OR 97006-4908
Phone (971) 255-3132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00006264ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphedema Solutions NW PastSince May 1, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1073776209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL",
            "address_2": "SUITE 100-23",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "971-255-3132",
            "fax_number": "971-228-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL",
            "address_2": "SUITE 100-23",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "971-255-3132",
            "fax_number": "971-228-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTZ",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "00006264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500672140",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHE",
            "last_name": "HOTZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.