Kathryn R Gottfried Randall, O.T.

Individual provider Active NPI Occupational Therapist · Lawrence, KS

NPI 1225016751 · NPPES record last updated May 29, 2025

Key facts

NPI
1225016751
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1799 (NM)
Practice address
6265 Rock Chalk Dr
Lawrence, KS 66049-5232
Phone
(785) 838-7885
Fax
(785) 505-5311
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1799NMMDChiropractor
17-02400KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Memorial Hospital Past
since Feb 25, 2024
Accepting new patients
Bird Physical Therapy PA Past
since Mar 25, 2002
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1799 NM Yes
Occupational Therapist 225X00000X 17-02400 KS

Addresses

Primary practice location

6265 Rock Chalk Dr
Lawrence, KS 66049-5232

Mailing address

6265 Rock Chalk Dr Ste 1700
Lawrence, KS 66049-5232
Phone (785) 838-7885

Other practice location 1

201 Cedar St SE
Suite 6600
Albuquerque, NM 87106-4917
Phone (505) 724-4300

Other practice location 2

3215 Main St Ste 202
Kansas City, MO 64111-1946
Phone (816) 472-1800

Other practice location 3

1061 E 151st St
Olathe, KS 66062-3417
Phone (913) 829-3133

Other identifiers

IdentifierTypeStateIssuer
09821325MedicaidNM

Other providers in Lawrence, KS

All providers in Lawrence, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.