Katelyn Sara Prencavage, MOT OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119008636 Issued in VA

Practice address

6410 Courts Dr
Prince George, VA 23875-2562

Phone

(804) 733-2700

NPI assigned

Aug 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Prince George County Public Schools

  • Local Education Agency (LEA)
  • Prince George, VA
  • NPI 1245412717
  NPD (past)
• Denise Marino

  • Multi-Specialty Clinic/Center
  • Exton, PA
  • NPI 1609238971
  NPD (past)

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1174040448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 TOPSHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282651",
            "telephone_number": "267-546-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 COURTS DR",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752562",
            "telephone_number": "804-733-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 W Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194014758",
            "country_code": "US",
            "telephone_number": "610-539-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "694 Wharton Blvd",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411189",
            "country_code": "US",
            "telephone_number": "610-715-2702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENCAVAGE",
        "first_name": "KATELYN",
        "middle_name": "SARA",
        "name_prefix": "Miss",
        "credential": "MOT OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-27",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014909",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Morgan Phelps
• Platinum Care, LLC
• Monique Powell, NP
• Susan M. Powroznik, PT, DPT
• Premier Service Medical Transportation
• Prime Care Family Practice, P.C.
• Prince George Cosmetic & Family Dentistry, PC
• Prince George County
• Prince George County Public Schools
• Prince George Pharmacy Inc

• Occupational Therapist in Prince George, VA
• Providers in Prince George, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.