Katelyn Grace Isom, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

157256 Issued in AK

Practice address

4600 Business Park Blvd # D24
Anchorage, AK 99503-7142

Phone

(907) 561-1475

Fax

(888) 552-1720

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alaska Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Anchorage, AK
  • NPI 1730472168
  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1083248231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BUSINESS PARK BLVD # D24",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037142",
            "telephone_number": "907-561-1475",
            "fax_number": "888-552-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BUSINESS PARK BLVD # D24",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037142",
            "telephone_number": "907-561-1475",
            "fax_number": "888-552-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "KATELYN",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "157256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karrianna L Iseminger, OTD, OTR/L, CHT
• Melodie Isgro, MD
• Suzanne Ishii-Regan
• Shannon M Isley
• Ngozi Gerald Isolokwu, CC
• Tracy A Israelson, AA, BSW
• It Works Cadavos Foster Home
• Ithrive Therapy Alaska LLC
• John Itpik
• Jerilyn Iupeli

• All providers in Anchorage, AK
• Pediatric Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.