Katherine Walczuk, MA, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16031 Issued in CA

Practice address

8665 Wilshire Blvd Ste 412
Beverly Hills, CA 90211-2933

Phone

(310) 659-9511

NPI assigned

Jul 6, 2017

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

Credentials

Master of Arts

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.

• Innovative Speech & Language Pathology Inc

  • Speech-Language Pathologist
  • Beverly Hills, CA
  • NPI 1619340098

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1104347574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13860 CHRISTIAN BARRETT DR",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212801",
            "telephone_number": "805-405-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 WILSHIRE BLVD STE 412",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112933",
            "telephone_number": "310-659-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZUK",
        "first_name": "KATHERINE",
        "credential": "MA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umarin Wachter, CMT
• Sumeet Haresh Wadhwani, M.D.
• Stacy Monique Wadlington, PH.D.
• Elliott Jay Wagner, M.D.
• Brian Wagoner
• Alexander Waldman, DMD, MMSC
• Cory Adam Waldman, M.D.
• Lisa Waldman, L.C. S. W., M.P.H.
• Wendy Kim Waldman, M.D.
• Peter Sommers Waldstein, MD

• Occupational Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.