Kaitlyn Doris Pate, OTR/L

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

104 Montega LN
Coxs Creek, KY 40013-6655

Phone

(502) 504-2257

NPI assigned

Jun 11, 2019

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kaitlyn Doris Lentz Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathway to Potential Occupational Therapy

  • Early Intervention Provider Agency
  • Coxs Creek, KY
  • NPI 1295581874

  Occupational Therapist

  NPD Authorized official

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1134788326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MONTEGA LN",
            "city": "COXS CREEK",
            "state": "KY",
            "postal_code": "400136655",
            "telephone_number": "502-504-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MONTEGA LN",
            "city": "COXS CREEK",
            "state": "KY",
            "postal_code": "400136655",
            "telephone_number": "502-504-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "KAITLYN",
        "middle_name": "DORIS",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "251523",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "LENTZ",
            "middle_name": "DORIS",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shirley Liao Barker, MS, BCBA, LBA
• Judith L. Cooke, MD
• Jacqueline Beatrice Dale, MSCCCSLP
• Angela D Ethridge, ARNP
• Jennifer Fenwick
• Pathway to Potential Occupational Therapy
• Michaela Petsy
• Kaylee Brooke Reynolds
• Scripts Pharmacy
• Alison Lynn Shirley, PHARMD

• Early Intervention Provider Agency in Coxs Creek, KY
• Providers in Coxs Creek, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.